Individual provider Active NPI

Krystel Gilberte Assounga, MHC

  • Mental Health Counselor
  • New York, NY
National Provider Identifier
1902491897
Registry record updated Mar 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
P108886 Issued in NY
Practice address
20 E 46TH St RM 1200
New York, NY 10017-9246
Phone
(646) 850-2290
Fax
(646) 850-2295
NPI assigned
Mar 3, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2021

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 P108886 NY Primary

Addresses

Primary practice location

20 E 46TH St RM 1200
New York, NY 10017-9246

Mailing address

8403 Lander St Apt 3a
Jamaica, NY 11435-2020
Phone (201) 970-5646

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Practice Direct

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

LicenseStateTypeSpecialty
P108886NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Galynker Family Center for Bipolar Disorder PastSince Mar 7, 2021 Accepting new patients

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": "1614729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614729600000",
    "number": "1902491897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8403 LANDER ST APT 3A",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114352020",
            "telephone_number": "201-970-5646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 E 46TH ST RM 1200",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100179246",
            "telephone_number": "646-850-2290",
            "fax_number": "646-850-2295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASSOUNGA",
        "first_name": "KRYSTEL",
        "middle_name": "GILBERTE",
        "name_prefix": "Mrs.",
        "credential": "MHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-03",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "P108886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Practice",
            "affiliation": "N",
            "endpointDescription": "Practice",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "20 E 46th St Rm 1200",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100179246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.