Shayana Supreme, MHC-LP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

576214185 Issued in NY

Practice address

2 W 46TH St Ste 900
New York, NY 10036-4502

Phone

(646) 704-4014

NPI assigned

May 19, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Katarzyna Dlugosz Mental Health Counseling PLLC

  • Mental Health Counselor
  • New York, NY
  • NPI 1619539202
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1684454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684454400000",
    "number": "1902597883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 W 46TH ST STE 900",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100364502",
            "telephone_number": "646-704-4014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 W 46TH ST STE 900",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100364502",
            "telephone_number": "646-704-4014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUPREME",
        "first_name": "SHAYANA",
        "credential": "MHC-LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-19",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "576214185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Support by Design, OT, SLP,PT, PLLC
• Supportive Medical PC
• Supportive Psychological Services PC
• Supreme Medical Diagnostic,P.C.
• Supreme Therapy Services, LLC
• Ulana Suprun, MD
• Yoav Suprun, D.P.T.
• Hannah P Sur, MD
• Cathy L. Surace, CRNA
• Erika Surace, M.D.

• Mental Health Counselor in New York, NY
• Providers in New York, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2023; 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.