NPIMap

Organization Active NPI

Mental Health Counseling of Oswego County, PLLC

Doing business as Counseling and Healing Arts of Oswego, Inc

  • Community/Behavioral Health Agency
  • Fulton, NY
National Provider Identifier
1003205469
Registry record updated Nov 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MENTAL HEALTH COUNSELING OF OSWEGO COUNTY, PLLC
Practice address
188 S 3Rd St
Fulton, NY 13069-1801
Phone
(315) 207-5435
Fax
(315) 410-5544
NPI assigned
Jan 22, 2015
Last updated
Nov 21, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2017

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

Authorized official

Name
Tiffany Jane GentileNPI 1104131804
Title
LMHC, Director
Phone
(315) 207-5435

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

188 S 3Rd St
Fulton, NY 13069-1801

Mailing address

188 S 3Rd St
Fulton, NY 13069-1801
Phone (315) 207-5435

Other names 1

  • Counseling and Healing Arts of Oswego, Inc Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Counseling and Healing Arts of Oswego Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1421884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511222400000",
    "number": "1003205469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "188 S 3RD ST",
            "city": "FULTON",
            "state": "NY",
            "postal_code": "130691801",
            "telephone_number": "315-207-5435",
            "fax_number": "315-410-5544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 S 3RD ST",
            "city": "FULTON",
            "state": "NY",
            "postal_code": "130691801",
            "telephone_number": "315-207-5435",
            "fax_number": "315-410-5544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL HEALTH COUNSELING OF OSWEGO COUNTY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-22",
        "last_updated": "2017-11-21",
        "status": "A",
        "authorized_official_last_name": "GENTILE",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "LMHC, DIRECTOR",
        "authorized_official_telephone_number": "315-207-5435"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Counseling and Healing Arts of Oswego, Inc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Counseling and Healing Arts of Oswego, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Fulton, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.