NPIMap

Organization Active NPI

Venilia Gardens, Inc

Doing business as Cultural Counseling Services

  • Mental Health Counselor
  • Vineyard Haven, MA
National Provider Identifier
1225291958
Registry record updated Jul 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
259 Issued in MA
Legal business name
VENILIA GARDENS, INC
Doing business as
Cultural Counseling Services
Practice address
142 Field View LN
Vineyard Haven, MA 02568-7607
Phone
(508) 996-8800
Fax
(508) 996-8688
NPI assigned
Jul 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2008

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

Authorized official

Name
Dr. Celina Pina, LMHC
Title
Clinical Administrator
Phone
(508) 996-8800

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 259 MA Primary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 0016381 NY
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X 160 MA

Addresses

Primary practice location

142 Field View LN
Vineyard Haven, MA 02568-7607

Mailing address

142 Field View LN
PO Box 870
Vineyard Haven, MA 02568-7607
Phone (508) 996-8800

Other identifiers 5

IdentifierTypeStateIssuer
0137530MedicaidMA
0000000024854MedicaidMA
018365033OtherMAUNITED BEHAVIORAL HEALTH
1892711MedicaidMA
LMG030OtherMABCBCMA

Other names 1

  • Cultural Counseling Services Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214956800000",
    "number": "1225291958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 FIELD VIEW LN",
            "address_2": "PO BOX 870",
            "city": "VINEYARD HAVEN",
            "state": "MA",
            "postal_code": "025687607",
            "telephone_number": "508-996-8800",
            "fax_number": "508-996-8688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 FIELD VIEW LN",
            "city": "VINEYARD HAVEN",
            "state": "MA",
            "postal_code": "025687607",
            "telephone_number": "508-996-8800",
            "fax_number": "508-996-8688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VENILIA GARDENS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-02",
        "last_updated": "2008-07-02",
        "status": "A",
        "authorized_official_last_name": "PINA",
        "authorized_official_first_name": "CELINA",
        "authorized_official_title_or_position": "CLINICAL ADMINISTRATOR",
        "authorized_official_telephone_number": "508-996-8800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "259",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "0016381",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "MA",
            "license": "160",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0137530",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000000024854",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BEHAVIORAL HEALTH",
            "identifier": "018365033",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1892711",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBCMA",
            "identifier": "LMG030",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cultural Counseling Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vineyard Haven, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; 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.