Organization Active NPI

New England Counseling Services LLC

  • Adult Mental Health Clinic/Center
  • Fairfax, VA
National Provider Identifier
1023770047
Registry record updated Sep 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
NEW ENGLAND COUNSELING SERVICES LLC
Doing business as
Forge Health
Practice address
11730 Rockaway LN
Fairfax, VA 22030-7940
Phone
(703) 570-5300
NPI assigned
Oct 7, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2024

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

Authorized official

Name
Daniel Lenzo
Title
VP
Phone
(646) 709-6883

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X

Addresses

Primary practice location

11730 Rockaway LN
Fairfax, VA 22030-7940

Mailing address

10 Bank St Ste 830
White Plains, NY 10606-1952
Phone (646) 709-6883

Other names 1

  • Forge Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Forge Health3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

1133 Westchester Ave
Ste N-006
White Plains, NY 10604
Phone (914) 539-7600

NPI Registry JSON

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

{
    "created_epoch": "1633564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726790400000",
    "number": "1023770047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 BANK ST STE 830",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106061952",
            "telephone_number": "646-709-6883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11730 ROCKAWAY LN",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220307940",
            "telephone_number": "703-570-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW ENGLAND COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-07",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A",
        "authorized_official_last_name": "LENZO",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "646-709-6883"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Forge Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Forge Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2024; 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.