Individual provider Active NPI

Sofia Romanivna Tuchapsky, RN, LMHC, NCC, CCMHC

  • Mental Health Counselor
  • Brooklyn, NY
National Provider Identifier
1760734339
Registry record updated Mar 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
115 Henry St Ste 1F
Brooklyn, NY 11201-2512
Phone
(718) 207-3560
NPI assigned
Oct 8, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

115 Henry St Ste 1F
Brooklyn, NY 11201-2512

Mailing address

115 Henry St Ste 1F
Brooklyn, NY 11201-2512
Phone (718) 207-3560

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sofia@mindfulpsychnyc.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 16, 2024 through Jan 16, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
006282NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Wise Mind Mental Health Counseling, P.C. Mental Health CurrentSince Mar 29, 2020 Accepting new patients

Locations

115 Henry St
Ste 1F
Brooklyn, NY 11201
Phone (212) 533-5316

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1349654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585008000000",
    "number": "1760734339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 HENRY ST STE 1F",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112012512",
            "telephone_number": "718-207-3560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 HENRY ST STE 1F",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112012512",
            "telephone_number": "718-207-3560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCHAPSKY",
        "first_name": "SOFIA",
        "middle_name": "ROMANIVNA",
        "name_prefix": "Mrs.",
        "credential": "RN, LMHC, NCC, CCMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-08",
        "last_updated": "2020-03-24",
        "certification_date": "2020-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sofia@mindfulpsychnyc.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "115 Henry St Ste 1F",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112012512",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.