Sanctuary Mental Health Counseling Services, PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

SANCTUARY MENTAL HEALTH COUNSELING SERVICES, PLLC

Practice address

333 Ashdale Ave
Syracuse, NY 13206-1605

Phone

(315) 289-2504

NPI assigned

Jan 18, 2023

Last updated

Jan 18, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Jahleh Mohammadi, LMHC, RPT, CCPT

Title

Owner

Phone

(315) 289-2504

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Jahleh Mohammadi St George, LMHC, RPT, CCPT

  • Mental Health Counselor
  • Tully, NY
  • NPI 1093106528
  NPD

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

{
    "created_epoch": "1674000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674000000000",
    "number": "1205541869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 ASHDALE AVE",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132061605",
            "telephone_number": "315-289-2504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 ASHDALE AVE",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132061605",
            "telephone_number": "315-289-2504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANCTUARY MENTAL HEALTH COUNSELING SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-18",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A",
        "authorized_official_last_name": "MOHAMMADI",
        "authorized_official_first_name": "JAHLEH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-289-2504",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMHC, RPT, CCPT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oneeb Sanaullah, M.D.
• Michael Sanavonxay, RN BSN
• John C Sanborn, M.D.
• Lindsey Deborah Sanborn, FNP
• Diego Fernando Sanchez, LMSW
• Shaifali Sandal, MD
• Emma Sandberg
• Sierra Ann Sander, PA
• Christopher Robin Sanders, ATC
• Cynthia K Sanderson, PTA

• Mental Health Counselor in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; 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.