Organization Active NPI

Haber Counseling LCSW PLLC

  • Mental Health Counselor
  • Sunnyside, NY
National Provider Identifier
1023656246
Registry record updated Dec 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
HABER COUNSELING LCSW PLLC
Practice address
4701 Queens Blvd Ste 405
Sunnyside, NY 11104-1623
Phone
(646) 641-9578
Fax
(347) 924-9807
NPI assigned
Dec 18, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2019

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

Authorized official

Name
Carlos Gustavo Haber, LCSW-R
Title
President
Phone
(646) 641-9578

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

4701 Queens Blvd Ste 405
Sunnyside, NY 11104-1623

Mailing address

4701 Queens Blvd Ste 405
Sunnyside, NY 11104-1623
Phone (646) 641-9578

Other names 1

  • Haber Counseling LCSW PLLC Former legal business name

National Provider Directory

National Provider Directory

Locations

4701 Queens Blvd
Ste 405
Sunnyside, NY 11104
Phone (646) 641-9578

4322 50th St
Ste 2C
Woodside, NY 11377
Phone (619) 703-6646

NPI Registry JSON

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

{
    "created_epoch": "1576627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576627200000",
    "number": "1023656246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 QUEENS BLVD STE 405",
            "city": "SUNNYSIDE",
            "state": "NY",
            "postal_code": "111041623",
            "telephone_number": "646-641-9578",
            "fax_number": "347-924-9807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 QUEENS BLVD STE 405",
            "city": "SUNNYSIDE",
            "state": "NY",
            "postal_code": "111041623",
            "telephone_number": "646-641-9578",
            "fax_number": "347-924-9807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HABER COUNSELING LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-18",
        "last_updated": "2019-12-18",
        "certification_date": "2019-12-18",
        "status": "A",
        "authorized_official_last_name": "HABER",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "GUSTAVO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-641-9578",
        "authorized_official_credential": "LCSW-R"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Haber Counseling LCSW PLLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Haber Counseling LCSW PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Sunnyside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2019; 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.