Individual provider Active NPI

Jade Andrea Otero, MHC

  • Mental Health Counselor
  • New York, NY
National Provider Identifier
1972240992
Registry record updated May 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
140 E 56TH St Apt 3F
New York, NY 10022-3624
Phone
(818) 339-5164
NPI assigned
May 19, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2022

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 Primary

Addresses

Primary practice location

140 E 56TH St Apt 3F
New York, NY 10022-3624

Mailing address

140 E 56TH St Apt 3F
New York, NY 10022-3624
Phone (818) 339-5164

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://us04web.zoom.us/j/3306111279?pwd=bHdwekVMQ3A0TzRoaGM4eERKZHRudz09 Direct

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

NPI Registry JSON

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

{
    "created_epoch": "1652918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652918400000",
    "number": "1972240992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 E 56TH ST APT 3F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100223624",
            "telephone_number": "818-339-5164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 E 56TH ST APT 3F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100223624",
            "telephone_number": "818-339-5164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTERO",
        "first_name": "JADE",
        "middle_name": "ANDREA",
        "name_prefix": "Mrs.",
        "credential": "MHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-19",
        "last_updated": "2022-05-19",
        "certification_date": "2022-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://us04web.zoom.us/j/3306111279?pwd=bHdwekVMQ3A0TzRoaGM4eERKZHRudz09",
            "affiliation": "N",
            "endpointDescription": "Zoom Link",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "140 E 56th St Apt 3F",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100223624",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 May 19, 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.