Organization Active NPI

Am Counseling Services LCSW P.C.

Doing business as Ms.

  • Clinical Social Worker
  • Woodbury, NY
National Provider Identifier
1043830565
Registry record updated Apr 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
AM COUNSELING SERVICES LCSW P.C.
Doing business as
Ms.
Practice address
7600 Jericho Tpke
Woodbury, NY 11797-1728
Phone
(631) 517-0466
NPI assigned
Apr 24, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2020

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

Authorized official

Name
Ms. Altagracia Martinez, LCSW-RNPI 1760721088
Title
President
Phone
(718) 666-6987

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

7600 Jericho Tpke
Woodbury, NY 11797-1728

Mailing address

22 May St
Bay Shore, NY 11706-6915
Phone (718) 666-6987

Other names 1

  • Ms. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200702001749 NY Part B Supplier - Clinic/Group Practice 3971926247 Receives reassigned benefits from 1 practitioner
Practice locations: Woodbury, NY

National Provider Directory

National Provider Directory

Locations

7600 Jericho Tpke
Ste C102
Woodbury, NY 11797
Phone (718) 666-6987

Practitioners & affiliated clinicians

Practitioners 1

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": "1587686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587686400000",
    "number": "1043830565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 MAY ST",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117066915",
            "telephone_number": "718-666-6987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 JERICHO TPKE",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117971728",
            "telephone_number": "631-517-0466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AM COUNSELING SERVICES LCSW P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-24",
        "last_updated": "2020-04-24",
        "certification_date": "2020-04-24",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "ALTAGRACIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-666-6987",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW-R"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ms.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodbury, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.