Active NPI
Tianyu Liu
- Mental Health Counselor
- Brooklyn, NY
National Provider Identifier
1821848078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 014439
- Practice address
- 535 Clinton Ave
Brooklyn, NY 11238-6589 - Phone
- (718) 704-1986
- NPI assigned
- Mar 22, 2024
- Sex
- Male
- 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 | 014439 | NY | Primary |
Addresses
Primary practice location
535 Clinton Ave
Brooklyn, NY 11238-6589
Mailing address
800 Harbor Blvd Apt 1407C
Weehawken, NJ 07086-7731
Phone (646) 288-5235
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 014439 | NY | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jewish Board of Family & Childrens Services Inc | Current | Accepting new patients | |
| Jewish Board of Family and Children'S Services, Inc. | Current | Accepting new patients |
Locations
1273 53rd St
Brooklyn, NY 11219
Phone (718) 435-5700
5030 Broadway
Ste 201
New York, NY 10034
Phone (212) 632-4749
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- New York, NY
- NPI 1689755662
-
- Addiction (Substance Use Disorder) Counselor
- Brooklyn, NY
- NPI 1760173579
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1711065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711065600000",
"number": "1821848078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 HARBOR BLVD APT 1407C",
"city": "WEEHAWKEN",
"state": "NJ",
"postal_code": "070867731",
"telephone_number": "646-288-5235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "535 CLINTON AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112386589",
"telephone_number": "718-704-1986"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIU",
"first_name": "TIANYU",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-03-22",
"last_updated": "2024-03-22",
"certification_date": "2021-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "014439",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.