Safe Space Counseling Services, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

SAFE SPACE COUNSELING SERVICES, LLC

Practice address

800 Turnpike St Ste 300
North Andover, MA 01845-6156

Phone

(781) 632-6357

NPI assigned

Apr 22, 2021

Organization subpart

No

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

Authorized official

Name

Ms. Yourdeline Sertyl, LMHCNPI 1780047787

Title

President

Phone

(781) 632-6357

Specialties & licenses 1

Addresses

Practitioners 1

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

• Yourdeline Sertyl

  • Mental Health Counselor
  • Peabody, MA
  • NPI 1780047787
  NPD Authorized official

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

{
    "created_epoch": "1619049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619049600000",
    "number": "1285216044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 TURNPIKE ST STE 300",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018456156",
            "telephone_number": "781-632-6357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 TURNPIKE ST STE 300",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018456156",
            "telephone_number": "781-632-6357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFE SPACE COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-22",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "status": "A",
        "authorized_official_last_name": "SERTYL",
        "authorized_official_first_name": "YOURDELINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-632-6357",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Marie Russo, DVM
• Mary Frances Ryan, PTA
• Jeffrey Rydbeck, LPTA
• Marie Sacco, NP-C
• Kathryn Sachs, DPT
• Ossama El Sayed Sakr, M.D.
• Rania Salam, MD
• Sophia Ann Samih, FNP-C
• Eric Aaron Sampson, OTA
• Jacqueline Sands, PSYD., LMHC

• Mental Health Counselor in North Andover, MA
• Providers in North Andover, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2021; 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.