Organization Active NPI

Concierge Mental Health Counseling Services PLLC

  • Mental Health Counselor
  • Kingston, NY
National Provider Identifier
1104657865
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
CONCIERGE MENTAL HEALTH COUNSELING SERVICES PLLC
Practice address
44 Main St
Kingston, NY 12401-3828
Phone
(845) 481-0487
NPI assigned
Aug 13, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

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

Authorized official

Name
Dr. Matthew Maher, PHD, LMHCNPI 1851718282
Title
Ceo/Owner
Phone
(845) 481-0487

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X

Addresses

Primary practice location

44 Main St
Kingston, NY 12401-3828

Mailing address

44 Main St
Kingston, NY 12401-3828

National Provider Directory

National Provider Directory

Locations

44 Main St
Kingston, NY 12401
Phone (845) 255-4710

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": "1723507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723507200000",
    "number": "1104657865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 MAIN ST",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124013828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 MAIN ST",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124013828",
            "telephone_number": "845-481-0487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCIERGE MENTAL HEALTH COUNSELING SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-13",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A",
        "authorized_official_last_name": "MAHER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "845-481-0487",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; 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.