Individual provider · Type 1 NPI
Alexis Shooshani
Mental Health Counselor · Bayside, NY
NPI number
1104784503
Active
Practice location
1815 215th St Apt 17A
Bayside, NY 11360-2148
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1104784503
Alexis Shooshani's National Provider Identifier is 1104784503, issued on Jan 13, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bayside, NY. The record was last updated on Jan 13, 2026.