Individual provider Active NPI

Mara Sambugaro Framesqui, LMHC

  • Professional Counselor
  • New York, NY
National Provider Identifier
1871273532
Registry record updated Feb 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
013722 Issued in NY
Practice address
11 Broadway Ste 615
New York, NY 10004-1490
Phone
(917) 478-9802
NPI assigned
Jul 18, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 013722 NY Primary

Addresses

Primary practice location

11 Broadway Ste 615
New York, NY 10004-1490

Mailing address

11 Broadway Ste 615
New York, NY 10004-1490

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
I20250324001764 NY Practitioner - Mental Health Counselor 6709308349 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
013722NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Emotional Resilience Psychotherapy CurrentSince Feb 23, 2025 Accepting new patients
Che Senior Psychological Services, PC CurrentSince Mar 3, 2025 Accepting new patients
Knapp Street Psychiatry, PC CurrentSince Mar 3, 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

11 Broadway
Ste 615
New York, NY 10004
Phone (732) 616-4102

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": "1689638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739491200000",
    "number": "1871273532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 BROADWAY STE 615",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100041490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 BROADWAY STE 615",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100041490",
            "telephone_number": "917-478-9802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMBUGARO FRAMESQUI",
        "first_name": "MARA",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-18",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NY",
            "license": "013722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.