Provider Profile

Ellya Indradjaja, LMHC

Unclaimed Profile

About Ellya Indradjaja

Ellya Indradjaja, LMHC is a mental health counselor based in Astoria, NY. The provider's National Provider Identifier (NPI) is 1659024867.

Factual summary compiled by Guide.md from public records; not written by this provider.

Education & Training

School Other Graduated: 2018

Specialty

Credentials & Licensing

NY licenceAs reported to the NPI registry
No. 011692As reported
NPINational Provider Identifier
1659024867Issued 2022

As reported to the NPI registry ↗

Medicare information

Accepts Medicare assignmentYes
Telehealth reported to CMSYes
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What is Ellya Indradjaja's specialty?

Ellya Indradjaja is a mental health counselor in Astoria, NY. That is the designation recorded for this NPI in the federal registry.

NPI registry

Where can I find Ellya Indradjaja?

Ellya Indradjaja is listed at 3089 31St St Apt 1, Astoria, NY 11102. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

How do I contact Ellya Indradjaja?

The number on file is (646) 377-9724. Contact the office directly to confirm availability and scheduling.

NPI registry

What is the NPI for Ellya Indradjaja?

Ellya Indradjaja's National Provider Identifier is 1659024867. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

What is Ellya Indradjaja's education?

Ellya Indradjaja attended Other, graduating in 2018. This comes from the CMS National Downloadable File.

CMS public data

How much experience does Ellya Indradjaja have?

Ellya Indradjaja has 8 years experience. Calculated from a graduation year of 2018, reported in the CMS National Downloadable File.

CMS public data

Is Ellya Indradjaja's profile verified?

Not yet. This profile is built from public federal data and has not been confirmed by Ellya Indradjaja. If this is you, claiming it is free.

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