SG Wellness MHC PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

SG WELLNESS MHC PLLC

Practice address

15 Macdonough St Ste 3B
Brooklyn, NY 11216-2303

Phone

(347) 475-1676

NPI assigned

Jul 18, 2022

Organization subpart

No

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

Authorized official

Name

Shani Graves, MHCNPI 1578990958

Title

Owner

Phone

(347) 475-1676

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shani Graves, LMHC

  • Mental Health Counselor
  • Brooklyn, NY
  • NPI 1578990958
  NPD Authorized official
• Candace Cunningham, LMHC

  • Mental Health Counselor
  • Brooklyn, NY
  • NPI 1700538212
  NPD
• Evi Michelle Carrillo

  • Mental Health Counselor
  • Yonkers, NY
  • NPI 1306437025
  NPD (past)

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

{
    "created_epoch": "1658102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658102400000",
    "number": "1841925450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 MACDONOUGH ST STE 3B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112162303",
            "telephone_number": "347-475-1676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 MACDONOUGH ST STE 3B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112162303",
            "telephone_number": "347-475-1676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SG WELLNESS MHC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-18",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A",
        "authorized_official_last_name": "GRAVES",
        "authorized_official_first_name": "SHANI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-475-1676",
        "authorized_official_credential": "MHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1578990958",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; 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.