Provider Demographics
NPI:1275239493
Name:KATZ, ARIEL JENNIFER (MHC-LP)
Entity Type:Individual
Prefix:
First Name:ARIEL
Middle Name:JENNIFER
Last Name:KATZ
Suffix:
Gender:F
Credentials:MHC-LP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:213 W 35TH ST FL 4
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001-0252
Mailing Address - Country:US
Mailing Address - Phone:212-576-4104
Mailing Address - Fax:
Practice Address - Street 1:213 W 35TH ST FL 4
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-0252
Practice Address - Country:US
Practice Address - Phone:212-576-4104
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-31
Last Update Date:2023-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY18-P119699-01101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health