Active NPI
Nouveau Counseling Services, LCSW PLLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Bronx, NY
National Provider Identifier
1215715248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- NOUVEAU COUNSELING SERVICES, LCSW PLLC
- Practice address
- 1525 Popham Ave # 1
Bronx, NY 10453-7225 - Phone
- (929) 356-4341
- NPI assigned
- Sep 20, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tele Corinne Wilson, LCSW
- Title
- Manager
- Phone
- (917) 246-2221
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
1525 Popham Ave # 1
Bronx, NY 10453-7225
Mailing address
1525 Popham Ave # 1
Bronx, NY 10453-7225
Phone (929) 356-4341
Other names 1
- Nouveau Counseling Services, LCSW PLLC
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Bronx, NY
- NPI 1811463748
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695168000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1695168000000",
"number": "1215715248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1525 POPHAM AVE # 1",
"city": "BRONX",
"state": "NY",
"postal_code": "104537225",
"telephone_number": "929-356-4341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1525 POPHAM AVE # 1",
"city": "BRONX",
"state": "NY",
"postal_code": "104537225",
"telephone_number": "929-356-4341"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NOUVEAU COUNSELING SERVICES, LCSW PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-09-20",
"last_updated": "2023-09-20",
"certification_date": "2023-09-19",
"status": "A",
"authorized_official_last_name": "WILSON",
"authorized_official_first_name": "TELE",
"authorized_official_middle_name": "CORINNE",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "917-246-2221",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Nouveau Counseling Services, LCSW PLLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.