Individual provider Active NPI

Rakhamim Ilishayev

  • Mental Health Counselor
  • Brooklyn, NY
National Provider Identifier
1891531844
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
300 Ocean Pkwy Apt 6N
Brooklyn, NY 11218-4081
Phone
(347) 653-5426
NPI assigned
Jul 8, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NY Primary

Addresses

Primary practice location

300 Ocean Pkwy Apt 6N
Brooklyn, NY 11218-4081

Mailing address

300 Ocean Pkwy Apt 6N
Brooklyn, NY 11218-4081
Phone (347) 653-5426

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
I20260424001079 NY Practitioner - Mental Health Counselor 3274000443 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SBH Community Service Network IncGroup PAC ID 4082713839, 17 clinicians

Practice addresses (Care Compare)

1955 McDonald Ave
Brooklyn, NY 11223-1805
Phone (718) 787-1600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Organizations & group practices 1

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": "1720396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1891531844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 OCEAN PKWY APT 6N",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112184081",
            "telephone_number": "347-653-5426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 OCEAN PKWY APT 6N",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112184081",
            "telephone_number": "347-653-5426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ILISHAYEV",
        "first_name": "RAKHAMIM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-08",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.