Organization Active NPI

Visionary Mental Health Counseling Services, P.C.

  • Mental Health Counselor
  • Brooklyn, NY
National Provider Identifier
1083842504
Registry record updated Aug 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
002750 Issued in NY
Legal business name
VISIONARY MENTAL HEALTH COUNSELING SERVICES, P.C.
Practice address
2108 Linden Blvd
Brooklyn, NY 11207-7411
Phone
(718) 498-9898
Fax
(516) 546-4447
NPI assigned
Jun 23, 2009
Last updated
Aug 21, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2009

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

Authorized official

Name
Dr. Jeffery Anthony McKoy
Title
PSYD; LMHC; Dapa; BCPC
Phone
(718) 498-9898

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 002750 NY Primary

Addresses

Primary practice location

2108 Linden Blvd
Brooklyn, NY 11207-7411

Mailing address

2108 Linden Blvd
Brooklyn, NY 11207-7411
Phone (718) 498-9898

National Provider Directory

National Provider Directory

Locations

2108 Linden Blvd
Brooklyn, NY 11207
Phone (718) 272-1475

Practitioners & affiliated clinicians

Practitioners 3

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": "1245715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250812800000",
    "number": "1083842504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2108 LINDEN BLVD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112077411",
            "telephone_number": "718-498-9898",
            "fax_number": "516-546-4447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2108 LINDEN BLVD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112077411",
            "telephone_number": "718-498-9898",
            "fax_number": "516-546-4447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISIONARY MENTAL HEALTH COUNSELING SERVICES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-23",
        "last_updated": "2009-08-21",
        "status": "A",
        "authorized_official_last_name": "MCKOY",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PSYD; LMHC; DAPA; BCPC",
        "authorized_official_telephone_number": "718-498-9898",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "002750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2009; 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.