Individual provider Active NPI

Mona I El-Shahat

  • Mental Health Counselor
  • Bayside, NY
National Provider Identifier
1780277707
Registry record updated Feb 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
20934 Northern Blvd # 1020
Bayside, NY 11361-3149
Phone
(848) 999-4872
NPI assigned
Feb 20, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2021

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

20934 Northern Blvd # 1020
Bayside, NY 11361-3149

Mailing address

21 Nassau St
Elmont, NY 11003-4333
Phone (917) 607-5556

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lotus Life Mental Health Counseling, PLLC Mental Health CurrentSince Mar 16, 2021 Accepting new patients

Locations

20934 Northern Blvd
#1020
Bayside, NY 11361
Phone (848) 999-4872

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": "1613779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613952000000",
    "number": "1780277707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 NASSAU ST",
            "city": "ELMONT",
            "state": "NY",
            "postal_code": "110034333",
            "telephone_number": "917-607-5556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20934 NORTHERN BLVD # 1020",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113613149",
            "telephone_number": "848-999-4872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EL-SHAHAT",
        "first_name": "MONA",
        "middle_name": "I",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-20",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2021; 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.