1. Home
  2. Directory
  3. New York
  4. New York New York
  5. Counselor
  6. NPI Profile

ALISA IBRAGIMOVA
NPI 1184349466
Counselor - Mental Health in New York, NY

Active since October 10, 2022PECOS Enrolled
205 HUDSON ST FL 9, NEW YORK, NY 10013(347) 946-3965 Get Directions Write a Review

NPPES record last updated: October 27, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Alisa Ibragimova NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALISA IBRAGIMOVA (NPI 1184349466) is an individual mental health provider in New York, New York, licensed in New York (015159) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184349466
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameALISA IBRAGIMOVA
Location Address205 HUDSON ST FL 9New York, NY 10013-1810
Mailing Address3178 Nostrand Ave Apt 1dBrooklyn, NY 11229-3216 · (347) 989-5916
Phone(347) 946-3965
Sole ProprietorNo
Enumeration DateOctober 10, 2022
Last NPPES UpdateOctober 27, 2025
NPPES CertifiedOctober 27, 2025
✔ NPI 1184349466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NY · 015159
205 HUDSON ST FL 9, New York, NY 10013
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alisa Ibragimova is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. KANDICE KLOREN KAVANAGH PSYCHIATRIC NP
Nurse Practitioner (Psychiatric/Mental Health)
205 HUDSON ST FL 9
NEW YORK, NY 10013
New York County (914) 517-0058
CASSANDRA HINLICKY
Counselor (Mental Health)
205 HUDSON ST FL 9
NEW YORK, NY 10013
New York County (646) 941-7645
CHADAE OSBORNE LCSW
Social Worker (Clinical)
205 HUDSON ST FL 9
NEW YORK, NY 10013
New York County (646) 941-7645
DR. CLAIRE J GREEN-FORDE LCSW
Social Worker (Clinical)
205 HUDSON ST FL 9
NEW YORK, NY 10013
New York County (646) 941-7645
HEADWAY KANSAS BEHAVIORAL HEALTH SERVICES, P.A.
Psychiatry & Neurology (Psychiatry)
205 HUDSON ST FL 9
NEW YORK, NY 10013
New York County (646) 453-6777
DR. EMILY RENTZ
Psychologist (School)
205 HUDSON ST FL 9
NEW YORK, NY 10013
New York County (646) 941-7645
KRISTEN AMANDA MANERI
Counselor (Mental Health)
205 HUDSON ST FL 9
NEW YORK, NY 10013
New York County (646) 941-7645
MS. AMBER NICKOLINA TIDWELL NP
Nurse Practitioner (Psychiatric/Mental Health)
205 HUDSON ST FL 9
NEW YORK, NY 10013
New York County (646) 941-7645

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 Alisa Ibragimova's NPI number?

The NPI number for Alisa Ibragimova is 1184349466. It was assigned to this individual provider in the NPPES registry on October 10, 2022.

Where is Alisa Ibragimova located?

Alisa Ibragimova practices at 205 Hudson St Fl 9, New York, NY 10013. The listed phone number is (347) 946-3965.

What is Alisa Ibragimova's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Alisa Ibragimova enrolled in Medicare?

Yes. Alisa Ibragimova is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alisa Ibragimova was last updated on October 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.