Active NPI
Shruthi Nair, LMHC
- Mental Health Counselor
- New York, NY
National Provider Identifier
1902550650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 315 Madison Ave Ste 2401
New York, NY 10017-5457 - Phone
- (718) 407-0218
- NPI assigned
- Feb 10, 2022
- 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 | Primary |
Addresses
Primary practice location
315 Madison Ave Ste 2401
New York, NY 10017-5457
Mailing address
200 Winston Dr Apt 3016
Cliffside Park, NJ 07010-3234
Phone (914) 481-7193
Other practice location 1
90 Broad St Fl 2
New York, NY 10004-3313
Phone (201) 305-0733
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bold Brown Mental Health Counseling PLLC | Current | Accepting new patients |
Locations
90 Broad St
Fl 2
New York, NY 10004
Phone (212) 419-0399
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- New York, NY
- NPI 1992640296
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777161600000",
"number": "1902550650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 WINSTON DR APT 3016",
"city": "CLIFFSIDE PARK",
"state": "NJ",
"postal_code": "070103234",
"telephone_number": "914-481-7193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 MADISON AVE STE 2401",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100175457",
"telephone_number": "718-407-0218"
}
],
"practiceLocations": [
{
"address_1": "90 Broad St Fl 2",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100043313",
"country_code": "US",
"telephone_number": "201-305-0733",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NAIR",
"first_name": "SHRUTHI",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-10",
"last_updated": "2026-04-26",
"certification_date": "2026-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Apr 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.