Individual provider Active NPI

Hyunsook Maeng, LPC

  • Professional Counselor
  • Harbor City, CA
National Provider Identifier
1881125235
Registry record updated Dec 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CC7768 Issued in OR
Practice address
1543 261St St Apt 106
Harbor City, CA 90710-3388
Phone
(718) 316-2379
NPI assigned
Mar 27, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 001281 NY
Professional Counselor 101YP2500X CC7768 OR Primary

Addresses

Primary practice location

1543 261St St Apt 106
Harbor City, CA 90710-3388

Mailing address

1543 261St St Apt 106
Harbor City, CA 90710-3388
Phone (718) 316-2379

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240103002977 OR Practitioner - Mental Health Counselor 9335599323 Reassigns benefits to 3 organizations
I20241210000764 NJ Practitioner - Mental Health Counselor 9335599323 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
001281NYMDMental Health Counselor
CC7768ORMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Mental Health CurrentSince Aug 20, 2024 Accepting new patients
Sondermind, P.a. Mental Health CurrentSince Oct 1, 2025 Accepting new patients
Grow Healthcare Group of New Jersey PC Mental Health CurrentSince Nov 6, 2024 Accepting new patients
Amber Benson Pmhnp PC CurrentSince Jan 1, 2024 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

221 River St
Ste 9
Hoboken, NJ 07030
Phone (201) 439-8902

66 Club Rd
Ste 160
Eugene, OR 97401
Phone (541) 345-1722

10260 SW Greenburg Rd
Fl 4
Tigard, OR 97223
Phone (503) 405-9338

Organizations & group practices 4

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": "1490572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702339200000",
    "number": "1881125235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1543 261ST ST APT 106",
            "city": "HARBOR CITY",
            "state": "CA",
            "postal_code": "907103388",
            "telephone_number": "718-316-2379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1543 261ST ST APT 106",
            "city": "HARBOR CITY",
            "state": "CA",
            "postal_code": "907103388",
            "telephone_number": "718-316-2379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAENG",
        "first_name": "HYUNSOOK",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-27",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "001281",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "CC7768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harbor City, CA

Sources for this page

Verify at the official NPI Registry.