NPIMap

Organization Active NPI

Independence Counseling Center

  • Mental Health Counselor
  • Mount Vernon, NY
National Provider Identifier
1215211669
Registry record updated Oct 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6383705 Issued in NY
Legal business name
INDEPENDENCE COUNSELING CENTER
Practice address
10 Fiske PL
205
Mount Vernon, NY 10550-3205
Phone
(914) 664-0400
Fax
(914) 664-0404
NPI assigned
Oct 4, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2011

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

Authorized official

Name
Ms. Karen Green Pollard, MSWNPI 1245497023
Title
Director
Phone
(914) 664-0400

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 6383705 NY Primary

Addresses

Primary practice location

10 Fiske PL
205
Mount Vernon, NY 10550-3205

Mailing address

10 Fiske PL
205
Mount Vernon, NY 10550-3205
Phone (914) 664-0400

National Provider Directory

National Provider Directory

Locations

10 Fiske Pl
Ste 205
Mount Vernon, NY 10550
Phone (914) 664-0400

Practitioners & affiliated clinicians

Practitioners 3

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": "1317686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317686400000",
    "number": "1215211669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 FISKE PL",
            "address_2": "205",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105503205",
            "telephone_number": "914-664-0400",
            "fax_number": "914-664-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 FISKE PL",
            "address_2": "205",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105503205",
            "telephone_number": "914-664-0400",
            "fax_number": "914-664-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENCE COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-04",
        "last_updated": "2011-10-04",
        "status": "A",
        "authorized_official_last_name": "POLLARD",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "GREEN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "914-664-0400",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "6383705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2011; 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.