Active NPI
Madlena Rozenblyum, LCSW
- Mental Health Counselor
- Forest Hills, NY
National Provider Identifier
1922100163
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- R0478551
- Practice address
- 98 76 Queens Blvd
Ste 1C
Forest Hills, NY 11375 - Phone
- (646) 645-8016
- NPI assigned
- Sep 1, 2006
- Last updated
- Sep 11, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | R0478551 | NY | Primary |
| Clinical Social Worker | 1041C0700X | R0478551 | NY |
Addresses
Primary practice location
98 76 Queens Blvd
Ste 1C
Forest Hills, NY 11375
Mailing address
33 25 90TH Street
Apt 5G
Jackson Heights, NY 11372
Phone (646) 645-8016
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R0478551 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ruslink LTD | Mental Health | Current | Accepting new patients |
| Shakhmurov Counseling Inc | Clinical | Past | Accepting new patients |
| Jewish Board of Family & Childrens Services Inc | Past | Accepting new patients |
Locations
9830 67th Ave
Ste Cc
Rego Park, NY 11374
Phone (646) 645-8016
9876 Queens Blvd
Ste 1C
Rego Park, NY 11374
Phone (646) 645-8016
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Counselor
- Forest Hills, NY
- NPI 1639271877
-
- Community/Behavioral Health Agency
- New York, NY
- NPI 1689755662
-
- Clinical Social Worker
- Rego Park, NY
- NPI 1679610893
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1922100163",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 25 90TH STREET",
"address_2": "APT 5G",
"city": "JACKSON HEIGHTS",
"state": "NY",
"postal_code": "11372",
"telephone_number": "646-645-8016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "98 76 QUEENS BLVD",
"address_2": "STE 1C",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "11375",
"telephone_number": "646-645-8016"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROZENBLYUM",
"first_name": "MADLENA",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-01",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "R0478551",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R0478551",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Forest Hills, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.