Therapeutic Mental Health Counseling, PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

006295 Issued in NY

Legal business name

THERAPEUTIC MENTAL HEALTH COUNSELING, PLLC

Practice address

4317 E Genesee St
Suite 204
Syracuse, NY 13214-2114

Phone

(315) 558-7374

NPI assigned

Feb 2, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Andrea Ryan Mojica, LMHCNPI 1194115097

Title

Owner

Phone

(315) 558-7374

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 4

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

• Andrea Ryan Mojica, LMHC

  • Mental Health Counselor
  • Syracuse, NY
  • NPI 1194115097
  Medicare reassignment NPD Authorized official
• Elizabeth Anne Williams, LMHC

  • Mental Health Counselor
  • Syracuse, NY
  • NPI 1942754098
  Medicare reassignment NPD
• Karey Leigh Vito, LMHC, CASAC

  • Mental Health Counselor
  • Syracuse, NY
  • NPI 1275009136
  Medicare reassignment
• Rachel Golden, MS, LMHC, NCC

  • Mental Health Counselor
  • Syracuse, NY
  • NPI 1720441991
  NPD (past)

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

{
    "created_epoch": "1485993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485993600000",
    "number": "1295273969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8290 SWALLOW PATH",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130901024",
            "telephone_number": "315-558-7374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4317 E GENESEE ST",
            "address_2": "SUITE 204",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132142114",
            "telephone_number": "315-558-7374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPEUTIC MENTAL HEALTH COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-02",
        "last_updated": "2017-02-02",
        "status": "A",
        "authorized_official_last_name": "MOJICA",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-558-7374",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "006295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marc Therrien
• Nanette Marie Thibado, RN
• Jessica Lynne Thibeau, LMSW
• Jennifer Ann Thieben, RPA-C

• Mental Health Counselor in Syracuse, NY
• Providers in 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 Feb 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.