Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jusup Sianturi, MA, LMHC

Individual provider Mental Health Counselor · NPI 1851154488

Jusup Sianturi, MA, LMHC is a Mental Health Counselor in Elmhurst, New York. Qualified in 2019, 7 years ago. Practices as a sole proprietor. Licensed in New York.

Years since qualifying
7
Licensed in
NY
In the registry since
2024
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
LMHC — Licensed Mental Health Counselor
A licensed mental health counsellor; the title used in Florida, New York and Washington among others.

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Practice location Address checks out

8615 Broadway Apt 9C
Elmhurst, NY 11373-5835
Phone: (718) 813-0042
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 014355 (NY)

Record details

NPI number1851154488
Entity typeIndividual (Type 1)
GenderMale
Credentials MA , LMHC
Sole proprietorYes
NPI enumeratedFebruary 5, 2024
Last updated in NPPESFebruary 5, 2024
Certification dateFebruary 5, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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