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Ellya Indradjaja

LMHC

Counselor - Mental Health

NPI: 1659024867Astoria, New York, 11102(646) 377-9724Female

About Ellya Indradjaja

Ellya Indradjaja, LMHC, is a female healthcare professional specializing in Counselor - Mental Health with a focus on Mental Health, registered under National Provider Identifier (NPI) number 1659024867.

Ellya Indradjaja received her medical education at OTHER, graduating in 2018. Their primary practice is located at 3089 31ST ST APT 1, Astoria, New York 11102. Patients can reach the office at (646) 377-9724.

Ellya Indradjaja is enrolled in Medicare and accepts Medicare patients, is authorized to order and refer Medicare services. Ellya Indradjaja has been NPI-registered since 2022.

Key Metrics

Practice Locations

1

Doctor Details

Identity & Credentials

NPI Number
1659024867
Entity Type
Individual
First Name
Ellya
Last Name
Indradjaja
Credential
LMHC
Gender
Female
Medical School
OTHER
Graduation Year
2018
Sole Proprietor
Yes
Status
active

Primary Practice Location

Address
3089 31ST ST APT 1
City
Astoria
State
New York
ZIP
11102-1975
Country
United States
Phone
(646) 377-9724

Specialty & Taxonomy

Primary Specialty
Counselor - Mental Health
Classification
Counselor
Specialization
Mental Health
Taxonomy Code
101YM0800X

NPI Registration

Enumeration Date
Last Updated
Certification Date

Mailing Address

Address
3089 31ST ST APT 1
City
ASTORIA
State
NY
ZIP
111021975

Medicare Enrollment

Medicare Enrolled
Yes
Can Order/Refer
Yes
Telehealth
No
Excluded
No

Frequently Asked Questions

What is Ellya Indradjaja's NPI number?
Ellya Indradjaja's National Provider Identifier (NPI) is 1659024867. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Ellya Indradjaja specialize in?
Ellya Indradjaja specializes in Counselor - Mental Health. They received their medical education at OTHER (class of 2018).
Where is Ellya Indradjaja located?
Ellya Indradjaja practices at 3089 31ST ST APT 1, Astoria, New York 11102. You can reach them by phone at (646) 377-9724.
Does Ellya Indradjaja accept Medicare?
Yes, Ellya Indradjaja is enrolled in the Medicare program and accepts Medicare patients. They are also authorized to order and refer services under Medicare.
Does Ellya Indradjaja offer telehealth or virtual visits?
Ellya Indradjaja does not currently offer telehealth services. In-person visits are required at their practice location.

What is an NPI Number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Ellya Indradjaja is 1659024867.