Active NPI
Queens Counseling for Change, LCSW, LLP
- Community/Behavioral Health Agency
- Long Island City, NY
National Provider Identifier
1104070879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 091011667
- Legal business name
- QUEENS COUNSELING FOR CHANGE, LCSW, LLP
- Practice address
- 44-61 A 11TH St
Long Island City, NY 11101-5102 - Phone
- (718) 424-6191
- Fax
- (718) 424-6192
- NPI assigned
- Nov 7, 2008
- Last updated
- Sep 4, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Larry Menzie, MSW
- Title
- Executive Director
- Phone
- (917) 494-3281
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 091011667 | NY | Primary |
Addresses
Primary practice location
44-61 A 11TH St
Long Island City, NY 11101-5102
Mailing address
PO Box 720485
Jackson Heights, NY 11372-0485
Phone (718) 424-6191
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
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.
-
- Social Worker
- Long Island City, NY
- NPI 1972744423
-
- Mental Health Counselor
- Poestenkill, NY
- NPI 1356953038
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226016000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1346716800000",
"number": "1104070879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 720485",
"city": "JACKSON HEIGHTS",
"state": "NY",
"postal_code": "113720485",
"telephone_number": "718-424-6191",
"fax_number": "718-424-6192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44-61 A 11TH ST",
"city": "LONG ISLAND CITY",
"state": "NY",
"postal_code": "111015102",
"telephone_number": "718-424-6191",
"fax_number": "718-424-6192"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "QUEENS COUNSELING FOR CHANGE, LCSW, LLP",
"organizational_subpart": "NO",
"enumeration_date": "2008-11-07",
"last_updated": "2012-09-04",
"status": "A",
"authorized_official_last_name": "MENZIE",
"authorized_official_first_name": "LARRY",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "917-494-3281",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MSW"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NY",
"license": "091011667",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Long Island City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.