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
- 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
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 DirectoryLocations
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.
-
- 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.