Individual provider Active NPI

William Massaquoi Ndama II, PRE-LMHC

  • Mental Health Counselor
  • New York, NY
National Provider Identifier
1801678164
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
P125131 Issued in NY
Practice address
159 Bleecker St FL 2
New York, NY 10012-1457
Phone
(917) 831-5900
NPI assigned
Oct 19, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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 P125131 NY Primary

Addresses

Primary practice location

159 Bleecker St FL 2
New York, NY 10012-1457

Mailing address

159 Bleecker St FL 2
New York, NY 10012-1457
Phone (917) 831-5900

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
P125131NYMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1697673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1801678164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 BLEECKER ST FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100121457",
            "telephone_number": "917-831-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 BLEECKER ST FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100121457",
            "telephone_number": "917-831-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NDAMA",
        "first_name": "WILLIAM",
        "middle_name": "MASSAQUOI",
        "name_suffix": "II",
        "credential": "PRE-LMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-10-19",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "P125131",
            "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 Nov 2, 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.

Verify at the official NPI Registry.