JIAXUAN HE
NPI 1114704772
Counselor - Mental Health in Brooklyn, NY
About Jiaxuan He NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JIAXUAN HE (NPI 1114704772) is an individual mental health provider in Brooklyn, New York, licensed in New York (P124314) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jiaxuan He is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jiaxuan He's NPI number?
The NPI number for Jiaxuan He is 1114704772. It was assigned to this individual provider in the NPPES registry on September 8, 2023.
Where is Jiaxuan He located?
Jiaxuan He practices at 535 Clinton Ave Ste 2, Brooklyn, NY 11238. The listed phone number is (718) 704-1986.
What is Jiaxuan He's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Jiaxuan He enrolled in Medicare?
Yes. Jiaxuan He is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Jiaxuan He was last updated on September 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Jiaxuan He · NPI 1114704772
Mental Health provider in Brooklyn, New York. Individual provider, active in the CMS NPPES registry since September 8, 2023.
## Identity
- **NPI:** 1114704772 (Entity type: Individual)
- **Enumerated:** September 8, 2023
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** P124314 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 535 CLINTON AVE STE 2, Brooklyn, NY 11238-6590
- **Phone:** (718) 704-1986
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** September 8, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1114704772) · Data from the CMS NPPES public registry.