Organization Active NPI

Fresh Start Mental Health Counseling PLLC

Doing business as Fresh Start Counseling

  • Mental Health Counselor
  • Silver Creek, NY
National Provider Identifier
1073959391
Registry record updated May 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
002723-1 Issued in NY
Legal business name
FRESH START MENTAL HEALTH COUNSELING PLLC
Doing business as
Fresh Start Counseling
Practice address
71 Main St
Silver Creek, NY 14136
Phone
(716) 780-5780
NPI assigned
May 14, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2013

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

Authorized official

Name
Mr. Robert E Cunningham, LMHC
Title
President
Phone
(716) 780-5780

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 002723-1 NY Primary

Addresses

Primary practice location

71 Main St
Silver Creek, NY 14136

Mailing address

71-73 Main St
Silver Creek, NY 14136
Phone (716) 780-5780

Other names 1

  • Fresh Start Counseling Doing business as

National Provider Directory

National Provider Directory

Locations

71 Main St
Silver Creek, NY 14136
Phone (716) 562-3115

NPI Registry JSON

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

{
    "created_epoch": "1368489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368489600000",
    "number": "1073959391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71-73 MAIN ST",
            "city": "SILVER CREEK",
            "state": "NY",
            "postal_code": "14136",
            "telephone_number": "716-780-5780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 MAIN ST",
            "city": "SILVER CREEK",
            "state": "NY",
            "postal_code": "14136",
            "telephone_number": "716-780-5780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESH START MENTAL HEALTH COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-14",
        "last_updated": "2013-05-14",
        "status": "A",
        "authorized_official_last_name": "CUNNINGHAM",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "716-780-5780",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "002723-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fresh Start Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Silver Creek, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2013; 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.