Individual provider Active NPI

Dimitra Tzanis

  • Mental Health Counselor
  • Hartsdale, NY
National Provider Identifier
1861965147
Registry record updated Oct 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
015327 Issued in NY
Practice address
234 N Central Ave Ste 102
Hartsdale, NY 10530-1821
Phone
(914) 529-0027
NPI assigned
Jan 9, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 952383990 NY
Mental Health Counselor 101YM0800X 015327 NY Primary

Addresses

Primary practice location

234 N Central Ave Ste 102
Hartsdale, NY 10530-1821

Mailing address

21600 Oxnard St Ste 1800
Woodland Hills, CA 91367-7807
Phone (516) 784-7359

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250203000377 NY Practitioner - Mental Health Counselor 9234668484 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
015327NYMDMental Health Counselor
952383990NYMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Clear Intentions Mental Health Counseling, PLLC Current Accepting new patients
Knapp Street Psychiatry, PC CurrentSince Jan 1, 2025 Accepting new patients
Che Senior Psychological Services, PC CurrentSince Jan 15, 2025 Accepting new patients

Locations

1915 Ocean Ave
Brooklyn, NY 11230
Phone (718) 258-7700

2433 Knapp St
Ste 306
Brooklyn, NY 11235

250 Beach 17th St
Far Rockaway, NY 11691
Phone (516) 670-0212

209 Beach 125th St
Rockaway Park, NY 11694
Phone (516) 721-7625

135 Vanderbilt Ave
Staten Island, NY 10304
Phone (718) 447-0101

Organizations & group practices 3

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": "1546992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729814400000",
    "number": "1861965147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21600 OXNARD ST STE 1800",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913677807",
            "telephone_number": "516-784-7359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 N CENTRAL AVE STE 102",
            "city": "HARTSDALE",
            "state": "NY",
            "postal_code": "105301821",
            "telephone_number": "914-529-0027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TZANIS",
        "first_name": "DIMITRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-09",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "952383990",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "015327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartsdale, NY

Sources for this page

Verify at the official NPI Registry.