Therapy Brooklyn Mental Health Counseling PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

THERAPY BROOKLYN MENTAL HEALTH COUNSELING PLLC

Practice address

67 West St Ste 401
Brooklyn, NY 11222-5391

Phone

(347) 752-1259

NPI assigned

Aug 16, 2018

Organization subpart

No

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

Authorized official

Name

Marissa MooreNPI 1386079895

Title

Licensed Mental Health Counselor

Phone

(917) 376-3564

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marissa Moore, LMHC

  • Mental Health Counselor
  • Brooklyn, NY
  • NPI 1386079895
  NPD Authorized official
• Tak Yin Oliver Ip, LMHC

  • Mental Health Counselor
  • Brooklyn, NY
  • NPI 1891537635
  NPD

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

{
    "created_epoch": "1534377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641859200000",
    "number": "1962982173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 WEST ST STE 401",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112225391",
            "telephone_number": "347-752-1259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 WEST ST STE 401",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112225391",
            "telephone_number": "347-752-1259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPY BROOKLYN MENTAL HEALTH COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-16",
        "last_updated": "2022-01-11",
        "certification_date": "2021-09-22",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "MARISSA",
        "authorized_official_title_or_position": "LICENSED MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "917-376-3564"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1386079895",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Brooklyn, NY
• Providers in Brooklyn, 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 Jan 11, 2022; 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.