Etosha Blank
NPI 1780222869 · Mental Health Counselor · Brooklyn, NY
Enrolled with Medicare as Practitioner - Mental Health Counselor · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Etosha Blank is a Mental Health Counselor provider in Brooklyn, NY (NPI 1780222869).
Provider details
- NPI number
- 1780222869
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2019-12-19
- Last updated
- 2023-05-15
- Certified
- 2023-05-15
Frequently asked questions
- What is Etosha Blank's NPI number?
- Etosha Blank's National Provider Identifier (NPI) is 1780222869, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Etosha Blank's specialty?
- Etosha Blank is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Etosha Blank located?
- Etosha Blank's practice location on file with NPPES is 705 Manhattan Ave, Brooklyn, NY 11222-2909.
- What is Etosha Blank's phone number?
- The practice phone number listed in the NPPES registry for Etosha Blank is (347) 474-8464.
- Does Etosha Blank accept Medicare?
- Etosha Blank is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Etosha Blank's NPI active?
- Yes — Etosha Blank's NPI (1780222869) is active in the NPPES registry as of the last update on 2023-05-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.