Active NPI
Juien Shih
- Mental Health Counselor
- Flushing, NY
National Provider Identifier
1891248076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- P02266
- Practice address
- 14015 Sanford Ave Ste B
Flushing, NY 11355-2688 - Phone
- (718) 358-8828
- NPI assigned
- Jul 25, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | P02266 | NY | Primary |
Addresses
Primary practice location
14015 Sanford Ave Ste B
Flushing, NY 11355-2688
Mailing address
4414 47TH Ave Apt B2
Woodside, NY 11377-6114
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P02266 | NY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473638400000",
"number": "1891248076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4414 47TH AVE APT B2",
"city": "WOODSIDE",
"state": "NY",
"postal_code": "113776114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14015 SANFORD AVE STE B",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113552688",
"telephone_number": "718-358-8828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIH",
"first_name": "JUIEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-25",
"last_updated": "2016-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "P02266",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.