Organization Active NPI

Counseling and Coaching Center

  • Adult Mental Health Clinic/Center
  • Staten Island, NY
National Provider Identifier
1023470978
Registry record updated Mar 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
001590 Issued in NY
Legal business name
COUNSELING AND COACHING CENTER
Practice address
482 Bard Ave FL 3
Staten Island, NY 10310-2105
Phone
(646) 764-6562
NPI assigned
Mar 21, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2016

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

Authorized official

Name
Kelly I Gorsky, LMHC, CAMS-INPI 1467641571
Title
Mental Health Therapist
Phone
(646) 764-6562

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 001590 NY Primary

Addresses

Primary practice location

482 Bard Ave FL 3
Staten Island, NY 10310-2105

Mailing address

482 Bard Ave FL 3
Staten Island, NY 10310-2105
Phone (646) 764-6562

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1458518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458518400000",
    "number": "1023470978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "482 BARD AVE FL 3",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103102105",
            "telephone_number": "646-764-6562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "482 BARD AVE FL 3",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103102105",
            "telephone_number": "646-764-6562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING AND COACHING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-21",
        "last_updated": "2016-03-21",
        "status": "A",
        "authorized_official_last_name": "GORSKY",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "MENTAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "646-764-6562",
        "authorized_official_credential": "LMHC, CAMS-I"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NY",
            "license": "001590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2016; 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.