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MR. JEFFREY M KISHNER LMHC
NPI 1629285200
Counselor - Mental Health in Brooklyn, NY

Active since May 16, 2007Opted out of Medicare · through Dec 5, 2027
135 PROSPECT PARK W, APT. 14, BROOKLYN, NY 11215(347) 423-4631 Get Directions Write a Review

NPPES record last updated: August 25, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Jeffrey M Kishner Lmhc NPPES

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

MR. JEFFREY M KISHNER LMHC (NPI 1629285200) is an individual mental health provider in Brooklyn, New York, licensed in New York (003751-1) and active in the NPI registry since May 2007. He has opted out of Medicare through December 5, 2027.

NPPES Registry Identity

NPI1629285200
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. JEFFREY M KISHNERCredential: LMHC
Location Address135 PROSPECT PARK W, APT. 14Brooklyn, NY 11215-4267
Mailing Address82 Nassau St # 60397New York, NY 10038-3703 · (347) 394-7841
Phone(347) 423-4631
Sole ProprietorYes
Enumeration DateMay 16, 2007
Last NPPES UpdateAugust 25, 2021
NPPES CertifiedAugust 25, 2021
✔ NPI 1629285200 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 · 003751-1
135 PROSPECT PARK W, Brooklyn, NY 11215
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mr. Jeffrey M Kishner Lmhc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 5, 2025 through December 5, 2027.

Opt-Out Effective DateDecember 5, 2025
Opt-Out In Effect ThroughDecember 5, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

DR. JEANNE MARY KOTUBY PH.D.
Psychologist (Clinical)
135 PROSPECT PARK W, #44A
BROOKLYN, NY 11215
Kings County (718) 788-6886

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 Jeffrey Kishner's NPI number?

The NPI number for Jeffrey Kishner is 1629285200. It was assigned to this individual provider in the NPPES registry on May 16, 2007.

Where is Jeffrey Kishner located?

Jeffrey Kishner practices at 135 Prospect Park W Apt. 14, Brooklyn, NY 11215. The listed phone number is (347) 423-4631.

What is Jeffrey Kishner's specialty?

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

Is Jeffrey Kishner enrolled in Medicare?

No. Jeffrey Kishner has opted out of Medicare through December 5, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Jeffrey Kishner was last updated on August 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.