IndividualActive
Mizuho Kanazawa, LCAT, MA-RDT, CCLS
NPI 1780955831 · Mental Health Counselor · New York, NY
Provider details
- NPI number
- 1780955831
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- LCAT, MA-RDT, CCLS
- Sex
- Female
- Sole proprietor
- Yes
- License
- 000266-1 (NY)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
412 6th Ave Ste 705
New York, NY 10011-8409
Phone: (201) 298-3131
Approximate (ZIP-level) locationGet directions
Mailing address
412 6th Ave Ste 705
New York, NY 10011-8409
Additional practice locations (1)
- 80 E 11th St301cNew York, NY 10003-6811Phone: (201) 298-3131
Registry dates
- Enumerated
- 2012-01-21
- Last updated
- 2018-03-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.