Active NPI
Daniella Nkurunziza, MHC-LP
- Mental Health Counselor
- New York, NY
National Provider Identifier
1952918716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 104321-01
- Practice address
- 120 W 31St St FL 3
New York, NY 10001-3407 - Phone
- (646) 785-0380
- NPI assigned
- Sep 25, 2020
- 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 | 104321-01 | NY | Primary |
Addresses
Primary practice location
120 W 31St St FL 3
New York, NY 10001-3407
Mailing address
575 Main St Apt 313
New York, NY 10044-0273
Phone (646) 785-0380
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 104321-01 | NY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600992000000",
"number": "1952918716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "575 MAIN ST APT 313",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100440273",
"telephone_number": "646-785-0380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 W 31ST ST FL 3",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100013407",
"telephone_number": "646-785-0380"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NKURUNZIZA",
"first_name": "DANIELLA",
"name_prefix": "Mrs.",
"credential": "MHC-LP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-25",
"last_updated": "2020-09-25",
"certification_date": "2020-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "104321-01",
"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 Sep 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.