NPIMap

Organization Active NPI

Community Counseling and Mediation

Doing business as CCMS

  • Community/Behavioral Health Agency
  • Brooklyn, NY
National Provider Identifier
1003028549
Registry record updated Apr 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
7655100A Issued in NY
Legal business name
COMMUNITY COUNSELING AND MEDIATION
Doing business as
CCMS
Practice address
25 Elm PL FL 2
Brooklyn, NY 11201-5355
Phone
(718) 802-0666
Fax
(718) 858-9493
NPI assigned
May 4, 2007
Last updated
Apr 24, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Emory X. Brooks
Title
President & Ceo
Phone
(718) 802-0666

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 7655100A NY Primary

Addresses

Primary practice location

25 Elm PL FL 2
Brooklyn, NY 11201-5355

Mailing address

25 Elm PL FL 2
Brooklyn, NY 11201-5355
Phone (718) 802-0666

Other names 1

  • CCMS Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131105000444 NY Part B Supplier - Clinic/Group Practice 5294960936 Receives reassigned benefits from 16 practitioners
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory
Tax ID family
C C M S5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

25 Elm Pl
Fl 2
Brooklyn, NY 11201
Phone (718) 802-0666

535 Clinton Ave
Ste 2
Brooklyn, NY 11238
Phone (718) 704-1986

Practitioners & affiliated clinicians

Practitioners 99

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 99

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524528000000",
    "number": "1003028549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 ELM PL FL 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015355",
            "telephone_number": "718-802-0666",
            "fax_number": "718-858-9493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 ELM PL FL 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015355",
            "telephone_number": "718-802-0666",
            "fax_number": "718-858-9493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY COUNSELING AND MEDIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2018-04-24",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "EMORY",
        "authorized_official_middle_name": "X.",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "718-802-0666",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": "7655100A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CCMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.