NPIMap

Organization Active NPI

Koepke Counseling Services, Licensed Mental Health Counseling, PC

  • Mental Health Counselor
  • New York, NY
National Provider Identifier
1053293886
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
KOEPKE COUNSELING SERVICES, LICENSED MENTAL HEALTH COUNSELING, PC
Practice address
40 W 116TH St Apt B311
New York, NY 10026-2866
Phone
(646) 709-0982
NPI assigned
Jul 23, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

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

Authorized official

Name
Cassandra Singh
Title
Office Manager
Phone
(646) 450-6778

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

40 W 116TH St Apt B311
New York, NY 10026-2866

Mailing address

40 W 116TH St Apt B311
New York, NY 10026-2866
Phone (646) 709-0982

Other names 1

  • Restore Renew Therapy Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1753228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753228800000",
    "number": "1053293886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 W 116TH ST APT B311",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100262866",
            "telephone_number": "646-709-0982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 W 116TH ST APT B311",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100262866",
            "telephone_number": "646-709-0982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOEPKE COUNSELING SERVICES, LICENSED MENTAL HEALTH COUNSELING, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-23",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A",
        "authorized_official_last_name": "SINGH",
        "authorized_official_first_name": "CASSANDRA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "646-450-6778"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Restore Renew Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2025; 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.