NPIMap

Organization Active NPI

Community Counseling and Mediation

  • Community/Behavioral Health Agency
  • New York, NY
National Provider Identifier
1215464631
Registry record updated May 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
R035238-1 Issued in NY
Legal business name
COMMUNITY COUNSELING AND MEDIATION
Practice address
115 W 31St St
5TH Floor
New York, NY 10001-3596
Phone
(212) 564-6006
Fax
(212) 564-3440
NPI assigned
May 16, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2017

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

Authorized official

Name
Ms. Mary Tanneberger Agnes Tanneberger, LCSW-R
Title
Clinic Director
Phone
(718) 596-4991

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X R035238-1 NY Primary

Addresses

Primary practice location

115 W 31St St
5TH Floor
New York, NY 10001-3596

Mailing address

115 W 31St St
5TH Floor
New York, NY 10001-3596
Phone (212) 564-6006

National Provider Directory

National Provider Directory
Tax ID family
Community Counseling Media5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1494892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494892800000",
    "number": "1215464631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 W 31ST ST",
            "address_2": "5TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100013596",
            "telephone_number": "212-564-6006",
            "fax_number": "212-564-3440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 W 31ST ST",
            "address_2": "5TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100013596",
            "telephone_number": "212-564-6006",
            "fax_number": "212-564-3440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY COUNSELING AND MEDIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-16",
        "last_updated": "2017-05-16",
        "status": "A",
        "authorized_official_last_name": "TANNEBERGER",
        "authorized_official_first_name": "MARY TANNEBERGER",
        "authorized_official_middle_name": "AGNES",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "718-596-4991",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW-R"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": "R035238-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2017; 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.