Hereba Mental Health Counseling, LMHC, PC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

HEREBA MENTAL HEALTH COUNSELING, LMHC, PC

Practice address

124 Northern Lights Dr Ste 30
North Syracuse, NY 13212-4119

Phone

(315) 552-0201

NPI assigned

May 15, 2019

Organization subpart

No

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

Authorized official

Name

Leslie Shaffer Hereba, MS, LMHC

Title

Owner

Phone

(315) 552-0201

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Margaret C McCurdy, LMHC

  • Mental Health Counselor
  • North Syracuse, NY
  • NPI 1720644420
  NPD (past)

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

{
    "created_epoch": "1557878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1275199291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 GORLAND AVE",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132241615",
            "telephone_number": "315-256-7985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 NORTHERN LIGHTS DR STE 30",
            "city": "NORTH SYRACUSE",
            "state": "NY",
            "postal_code": "132124119",
            "telephone_number": "315-552-0201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEREBA MENTAL HEALTH COUNSELING, LMHC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-15",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "HEREBA",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "SHAFFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-552-0201",
        "authorized_official_credential": "MS, LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI-1",
            "identifier": "1649648114",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in North Syracuse, NY
• Providers in North 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 Jun 11, 2019; 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.