Counseling Services of New York LLC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

COUNSELING SERVICES OF NEW YORK LLC

Practice address

911 Walton Ave
Suite 1B
Bronx, NY 10452

Phone

(718) 590-1790

Fax

(718) 590-1791

NPI assigned

Aug 17, 2006

Organization subpart

No

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

Authorized official

Name

Brian Ketay, MBA

Title

Operations Manager

Phone

(718) 590-1790

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Counseling Services of New York2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Counseling Services of New York

  • Community/Behavioral Health Agency
  • Bronx, NY
  • NPI 1578738001
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431561600000",
    "number": "1124131685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 WALTON AVE",
            "address_2": "SUITE 1B",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 WALTON AVE",
            "address_2": "SUITE 1B",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10452",
            "telephone_number": "718-590-1790",
            "fax_number": "718-590-1791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING SERVICES OF NEW YORK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2015-05-14",
        "status": "A",
        "authorized_official_last_name": "KETAY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "718-590-1790",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02663243",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dramane Coulibaly
• Tina Teney Coulibaly
• Wassa Coulibaly
• Counseling & Psychotherapy of Throggs Neck
• Counseling Services of New York
• Counseling to Comfort, Marriage and Family Therapy Services PLLC
• Pamela Sue Counts, PSY.D.
• Susan M Coupey, MD
• Courtesy Drugs and Surgical Inc
• Courtlandt Care Pharmacy LLC

• Addiction (Substance Use Disorder) Counselor in Bronx, NY
• Providers in Bronx, NY by specialty
• Addiction (Substance Use Disorder) Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2015; 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.