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

JIAYI SHAO
NPI 1417659004
Counselor - Mental Health in Brooklyn, NY

Active since March 20, 2023
109 N 12TH ST STE 817, BROOKLYN, NY 11249(347) 468-6664 Get Directions Write a Review

NPPES record last updated: March 20, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jiayi Shao NPPES

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

JIAYI SHAO (NPI 1417659004) is an individual mental health provider in Brooklyn, New York and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1417659004
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJIAYI SHAO
Location Address109 N 12TH ST STE 817Brooklyn, NY 11249-1002
Mailing Address2626 Grand Ave Apt 511North Bergen, NJ 07047-2191 · (347) 468-6664
Phone(347) 468-6664
Sole ProprietorNo
Enumeration DateMarch 20, 2023
NPPES CertifiedMarch 19, 2023
✔ NPI 1417659004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
109 N 12TH ST STE 817, Brooklyn, NY 11249
Open in Google Maps ↗

Other Providers at the Same Location NPPES 4

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

KATERI BERASI PSYD PLLC
Psychologist (Clinical)
109 N 12TH ST STE 817
BROOKLYN, NY 11249
Kings County (149) 791-7319
NATHANIEL TABACHNIK LMSW
Social Worker
109 N 12TH ST STE 817
BROOKLYN, NY 11249
Kings County (617) 851-0689
DR. KATERI BERASI PSY.D.
Psychologist
109 N 12TH ST STE 817
BROOKLYN, NY 11249
Kings County (914) 979-1731
AVNI RAJPAL
Art Therapist
109 N 12TH ST STE 817
BROOKLYN, NY 11249
Kings County (332) 276-6093

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 Jiayi Shao's NPI number?

The NPI number for Jiayi Shao is 1417659004. It was assigned to this individual provider in the NPPES registry on March 20, 2023.

Where is Jiayi Shao located?

Jiayi Shao practices at 109 N 12th St Ste 817, Brooklyn, NY 11249. The listed phone number is (347) 468-6664.

What is Jiayi Shao's specialty?

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

When was this NPI record last updated?

The NPPES record for Jiayi Shao was last updated on March 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.