Individual provider Active NPI

Juan Jose Robles-Gil, LMHC

  • Mental Health Counselor
  • New York, NY
National Provider Identifier
1821552605
Registry record updated Jan 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
009307 Issued in NY
Practice address
148 Madison Ave FL 6
New York, NY 10016-6700
Phone
(917) 216-7787
NPI assigned
Jan 25, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X 009307 NY Primary

Addresses

Primary practice location

148 Madison Ave FL 6
New York, NY 10016-6700

Mailing address

759 Quincy St Apt 1
Brooklyn, NY 11221-2801
Phone (617) 784-4246

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250224001537 NY Practitioner - Mental Health Counselor 2466972211

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
009307NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Robles-Gil Aleman Mental Health Counseling PLLC Mental Health CurrentSince Jan 1, 2024 Accepting new patients

Locations

242 W 30th St
Rm 602
New York, NY 10001
Phone (917) 268-9213

322 8th Ave
Ste 802
New York, NY 10001
Phone (212) 243-2830

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": "1548374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548374400000",
    "number": "1821552605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "759 QUINCY ST APT 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112212801",
            "telephone_number": "617-784-4246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 MADISON AVE FL 6",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166700",
            "telephone_number": "917-216-7787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBLES-GIL",
        "first_name": "JUAN",
        "middle_name": "JOSE",
        "name_prefix": "Mr.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-01-25",
        "last_updated": "2019-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "009307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.