Active NPI
Britney D Jara
- Mental Health Counselor
- New York, NY
National Provider Identifier
1770363012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- P124274
- Practice address
- 55 W 39TH St RM 305
New York, NY 10018-3830 - Phone
- (917) 677-9070
- Fax
- (917) 725-8044
- NPI assigned
- Oct 4, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | P124274 | NY | Primary |
Addresses
Primary practice location
55 W 39TH St RM 305
New York, NY 10018-3830
Mailing address
3523 88TH St Apt 3
Jackson Heights, NY 11372-5660
Phone (917) 327-3272
Other practice location 1
55 W 39th St Rm 700
New York, NY 10018-0559
Phone (917) 903-5067
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
| License | State | Type | Specialty |
|---|---|---|---|
| P124274 | NY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696377600000",
"number": "1770363012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3523 88TH ST APT 3",
"city": "JACKSON HEIGHTS",
"state": "NY",
"postal_code": "113725660",
"telephone_number": "917-327-3272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 W 39TH ST RM 305",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100183830",
"telephone_number": "917-677-9070",
"fax_number": "917-725-8044"
}
],
"practiceLocations": [
{
"address_1": "55 W 39th St Rm 700",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100180559",
"country_code": "US",
"telephone_number": "917-903-5067",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JARA",
"first_name": "BRITNEY",
"middle_name": "D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-10-04",
"last_updated": "2023-10-04",
"certification_date": "2023-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "P124274",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.