Individual provider Active NPI

Orly Bentata Goldenberg, LP

  • Mental Health Counselor
  • Brooklyn, NY
National Provider Identifier
1932584554
Registry record updated Sep 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
P03643 Issued in NY
Practice address
41 Flatbush Ave Ste 1
Brooklyn, NY 11217-1145
Phone
(646) 762-0707
NPI assigned
Jul 24, 2015
Last updated
Sep 15, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2023

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 P03643 NY Primary

Addresses

Primary practice location

41 Flatbush Ave Ste 1
Brooklyn, NY 11217-1145

Mailing address

41 Flatbush Ave Ste 1
Brooklyn, NY 11217-1145
Phone (646) 762-0707

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250404001177 NY Practitioner - Mental Health Counselor 0042657157 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

41 Flatbush Ave
Suite 1
Brooklyn, NY 11217-1145
Phone (646) 762-0707

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P03643NYMDMental Health Counselor
009583NYMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ketamine Care Mental Health Counseling LLC Current Accepting new patients
Smart Therapy Mental Health Counseling Professional Corporation CurrentSince Feb 8, 2024 Accepting new patients
Shine Medical Providers PC Past Accepting new patients
Shine Medical of Ca PC Past Accepting new patients

Locations

41 Flatbush Ave
Ste 1
Brooklyn, NY 11217
Phone (562) 622-2800

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1437696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694736000000",
    "number": "1932584554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 FLATBUSH AVE STE 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112171145",
            "telephone_number": "646-762-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 FLATBUSH AVE STE 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112171145",
            "telephone_number": "646-762-0707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENTATA GOLDENBERG",
        "first_name": "ORLY",
        "credential": "LP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-24",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "P03643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.