Organization Active NPI

Queens Counseling for Change, LCSW, LLP

  • Community/Behavioral Health Agency
  • Long Island City, NY
National Provider Identifier
1104070879
Registry record updated Sep 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
091011667 Issued in NY
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
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Directory

Locations

4461A 11th St
Long Island City, NY 11101
Phone (718) 424-6191

Practitioners & affiliated clinicians

Practitioners 1

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": "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.

Verify at the official NPI Registry.