Jusup Sianturi, MA, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

014355 Issued in NY

Practice address

8615 Broadway Apt 9C
Elmhurst, NY 11373-5835

Phone

(718) 813-0042

NPI assigned

Feb 5, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2019

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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.

• Uplift Behavioral Health PC

  • Adult Mental Health Clinic/Center
  • Bethesda, MD
  • NPI 1629740410

  NY

  Medicare reassignment

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

{
    "created_epoch": "1707091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1851154488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8615 BROADWAY APT 9C",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113735835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8615 BROADWAY APT 9C",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113735835",
            "telephone_number": "718-813-0042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIANTURI",
        "first_name": "JUSUP",
        "credential": "MA, LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-02-05",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "014355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joel J Shu, M.D.
• Neeraj Shukla, MD
• Chaya Shwaartz, M.D.
• Maya Shyju, FNP
• Kent Russell Tiv Siady, PT
• Tahamina Kamal Siddique
• Gina Siddiqui, MD
• Harleen Kaur Sidhu
• Jasleen Kaur Sidhu, M.B.,B.S
• Janet Helene Siegel, D.O.

• Mental Health Counselor in Elmhurst, NY
• Providers in Elmhurst, 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 Feb 5, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.