Active NPIIndividual provider

Irina Bashkirov, LAC

Counselor, Mental Health in Fort Lee, New Jersey

NPI Number1699161802
Practice location
440 West St Ste 323, Fort Lee, NJ 07024-5028
Fax
—
Last updated
April 14, 2015

Irina Bashkirov is a Counselor, Mental Health based in Fort Lee, NJ. Irina Bashkirov practices in Fort Lee, NJ and has the professional credentials of LAC. The NPI Number for Irina Bashkirov is 1699161802 and holds a License No. 37AC00246600 (NJ). The current practice location address for Irina Bashkirov is 440 West St Ste 323, Fort Lee, NJ 07024-5028 and can be reached out via phone at 917-667-0242.

Provider Profile Details

NPI Number
1699161802
Provider Name
Irina Bashkirov
Credential
LAC
Provider Entity Type
Individual
Gender
Female
Address
440 West St Ste 323, Fort Lee, NJ 07024-5028
Phone Number
917-667-0242
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
No
Provider Enumeration Date
April 14, 2015
Last Update Date
April 14, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
440 West St Ste 323
Fort Lee, NJ 07024-5028
Zip
07024-5028
Phone Number
917-667-0242
Fort Lee, NJ 07024Get directions →

Provider Business Mailing Address Details

Address
121 Chadwick RD
Teaneck, NJ 07666-4203
City
Teaneck
State
NJ
Zip
07666-4203
Phone Number
917-667-0242

License Information

License Number
37AC00246600
License State
NJ
Taxonomy
Counselor, Mental Health · 101YM0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Irina Bashkirov, LAC?

The NPI number of Irina Bashkirov, LAC is 1699161802. It was assigned on April 14, 2015 and is currently active in the NPPES registry.

What is the specialty of Irina Bashkirov, LAC?

Irina Bashkirov, LAC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in NJ under license number 37AC00246600.

Where does Irina Bashkirov, LAC practice?

The practice location is 440 West St Ste 323, Fort Lee, NJ 07024-5028. The office can be reached at 917-667-0242 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1699161802 directly on the NPPES registry website.

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