Active NPI
Real Mind Mental Health Counseling P.C.
- Mental Health Counselor
- Staten Island, NY
National Provider Identifier
1790635647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- REAL MIND MENTAL HEALTH COUNSELING P.C.
- Practice address
- 96 Simonson PL
Staten Island, NY 10302-1816 - Phone
- (347) 681-0419
- NPI assigned
- Jan 30, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Glad Effy Uko-Ima, MA, LMHC
- Title
- President/Owner
- Phone
- (347) 681-0419
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
96 Simonson PL
Staten Island, NY 10302-1816
Mailing address
96 Simonson PL
Staten Island, NY 10302-1816
Phone (347) 681-0419
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Mount Kisco, NY
- NPI 1427773423
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1769731200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1769731200000",
"number": "1790635647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "96 SIMONSON PL",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103021816",
"telephone_number": "347-681-0419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "96 SIMONSON PL",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103021816",
"telephone_number": "347-681-0419"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REAL MIND MENTAL HEALTH COUNSELING P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2026-01-30",
"last_updated": "2026-01-30",
"certification_date": "2026-01-30",
"status": "A",
"authorized_official_last_name": "UKO-IMA",
"authorized_official_first_name": "GLAD",
"authorized_official_middle_name": "EFFY",
"authorized_official_title_or_position": "PRESIDENT/OWNER",
"authorized_official_telephone_number": "347-681-0419",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MA, LMHC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.