NPIMap

Organization Active NPI

Erica Smuckler, LCSW, P.C.

Doing business as Courageous Kids Counseling

  • Adolescent and Children Mental Health Clinic/Center
  • Nyack, NY
National Provider Identifier
1003536699
Registry record updated Sep 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
ERICA SMUCKLER, LCSW, P.C.
Doing business as
Courageous Kids Counseling
Practice address
99 Main St Ste 516
Nyack, NY 10960-3109
Phone
(914) 348-3040
NPI assigned
Sep 1, 2022
Last updated
Sep 1, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2022

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

Authorized official

Name
Ms. Erica Smuckler, LCSWNPI 1184812588
Title
Owner, LCSW
Phone
(914) 348-3040

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

99 Main St Ste 516
Nyack, NY 10960-3109

Mailing address

66 Pine St
New City, NY 10956-6236
Phone (914) 348-3040

Other names 1

  • Courageous Kids Counseling Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.courageouskidscounseling.com Direct

National Provider Directory

National Provider Directory

Locations

99 Main St
Ste 516
Nyack, NY 10960
Phone (914) 348-3040

Practitioners & affiliated clinicians

Practitioners 12

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": "1661990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661990400000",
    "number": "1003536699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 PINE ST",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109566236",
            "telephone_number": "914-348-3040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 MAIN ST STE 516",
            "city": "NYACK",
            "state": "NY",
            "postal_code": "109603109",
            "telephone_number": "914-348-3040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERICA SMUCKLER, LCSW, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-01",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A",
        "authorized_official_last_name": "SMUCKLER",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "OWNER, LCSW",
        "authorized_official_telephone_number": "914-348-3040",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.courageouskidscounseling.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "99 Main St Ste 516",
            "city": "Nyack",
            "state": "NY",
            "country_code": "US",
            "postal_code": "109603109",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Courageous Kids Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nyack, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2022; 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.