Organization Active NPI

Listening Carefully Individual & Family Counseling Services

  • Mental Illness Community Based Residential Treatment Facility
  • Staten Island, NY
National Provider Identifier
1043584154
Registry record updated Mar 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
NYSR054862 Issued in NY
Legal business name
LISTENING CAREFULLY INDIVIDUAL & FAMILY COUNSELING SERVICES
Practice address
77 Oceanic Ave
Staten Island, NY 10312-6513
Phone
(718) 356-0430
NPI assigned
Mar 7, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2012

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

Authorized official

Name
Mrs. Estelle A Brousseau, LCSW-RNPI 1902951072
Title
License Clinical Social Worker
Phone
(718) 356-0430

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
Mental Illness Community Based Residential Treatment Facility 320800000X NYSR054862 NY Primary

Addresses

Primary practice location

77 Oceanic Ave
Staten Island, NY 10312-6513

Mailing address

77 Oceanic Avenue
Staten Island, NY 10312-6509
Phone (718) 356-0430

Other identifiers 1

IdentifierTypeStateIssuer
1902951072OtherNYPROVIDER NPI

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": "1331078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331078400000",
    "number": "1043584154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 OCEANIC AVENUE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103126509",
            "telephone_number": "718-356-0430",
            "fax_number": "718-605-7075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 OCEANIC AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103126513",
            "telephone_number": "718-356-0430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISTENING CAREFULLY INDIVIDUAL & FAMILY COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-07",
        "last_updated": "2012-03-07",
        "status": "A",
        "authorized_official_last_name": "BROUSSEAU",
        "authorized_official_first_name": "ESTELLE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "LICENSE CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "718-356-0430",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW-R"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NY",
            "license": "NYSR054862",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NPI",
            "identifier": "1902951072",
            "state": "NY"
        }
    ],
    "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 7, 2012; 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.