Active NPI
Xin Yuan
- Mental Health Counselor
- Brooklyn, NY
National Provider Identifier
1922833441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 015108
- Practice address
- 837 58TH St FL 3
Brooklyn, NY 11220-3662 - Phone
- (718) 686-1533
- Fax
- (718) 686-8121
- NPI assigned
- Sep 4, 2024
- 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 | 015108 | NY | Primary |
Addresses
Primary practice location
837 58TH St FL 3
Brooklyn, NY 11220-3662
Mailing address
837 58TH St FL 3
Brooklyn, NY 11220-3662
Phone (718) 686-1533
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241015003810 | NY | Practitioner - Mental Health Counselor | 5294267282 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
837 58TH St
FL 3
Brooklyn, NY 11220-3662
Phone (718) 686-1533
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 015108 | NY | MD | Speech-Language Pathologist |
Practice roles (2 of 6)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Xu Z. Chen Psychiatrist, LLC | Current | Accepting new patients | |
| Chinese-American Sunshine House Inc | Mental Health | Current | Accepting new patients |
Locations
6304 5th Ave
Ste 1
Brooklyn, NY 11220
Phone (718) 576-3610
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
Organizations & group practices 2
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": "1725408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725408000000",
"number": "1922833441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "837 58TH ST FL 3",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112203662",
"telephone_number": "718-686-1533",
"fax_number": "718-686-8121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "837 58TH ST FL 3",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112203662",
"telephone_number": "718-686-1533",
"fax_number": "718-686-8121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YUAN",
"first_name": "XIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-04",
"last_updated": "2024-09-04",
"certification_date": "2024-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "015108",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.