Individual provider Active NPI

Gina Illiano, LMHC

  • Mental Health Counselor
  • Brooklyn, NY
National Provider Identifier
1760720320
Registry record updated Jul 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
18 006152 Issued in NY
Practice address
25 Chapel St
Suite 901
Brooklyn, NY 11201-1952
Phone
(718) 398-0153
Fax
(718) 623-2531
NPI assigned
Jan 16, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Mental Health Counselor 101YM0800X 18 006152 NY Primary

Addresses

Primary practice location

25 Chapel St
Suite 901
Brooklyn, NY 11201-1952

Mailing address

25 Chapel St
Suite 901
Brooklyn, NY 11201-1952
Phone (718) 398-0153

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
18 006152NYMDMental Health Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1358294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437091200000",
    "number": "1760720320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 CHAPEL ST",
            "address_2": "SUITE 901",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112011952",
            "telephone_number": "718-398-0153",
            "fax_number": "718-623-2531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 CHAPEL ST",
            "address_2": "SUITE 901",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112011952",
            "telephone_number": "718-398-0153",
            "fax_number": "718-623-2531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ILLIANO",
        "first_name": "GINA",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-16",
        "last_updated": "2015-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "18 006152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.