NPIMap

Organization Active NPI

Resiliency Licensed Mental Health Counseling Services, PLLC

  • Mental Health Counselor
  • Mastic Beach, NY
National Provider Identifier
1295345296
Registry record updated Aug 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
RESILIENCY LICENSED MENTAL HEALTH COUNSELING SERVICES, PLLC
Practice address
371 Orchid Dr
Mastic Beach, NY 11951-1228
Phone
(631) 394-1805
Fax
(631) 887-3327
NPI assigned
Aug 4, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2020

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

Authorized official

Name
Michelle Raysor, LMHCNPI 1801308804
Title
Owner
Phone
(631) 394-1805

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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

371 Orchid Dr
Mastic Beach, NY 11951-1228

Mailing address

371 Orchid Dr
Mastic Beach, NY 11951-1228
Phone (631) 394-1805

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1596499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596499200000",
    "number": "1295345296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "371 ORCHID DR",
            "city": "MASTIC BEACH",
            "state": "NY",
            "postal_code": "119511228",
            "telephone_number": "631-394-1805",
            "fax_number": "631-887-3327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "371 ORCHID DR",
            "city": "MASTIC BEACH",
            "state": "NY",
            "postal_code": "119511228",
            "telephone_number": "631-394-1805",
            "fax_number": "631-887-3327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESILIENCY LICENSED MENTAL HEALTH COUNSELING SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-04",
        "last_updated": "2020-08-04",
        "certification_date": "2020-08-04",
        "status": "A",
        "authorized_official_last_name": "RAYSOR",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-394-1805",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mastic Beach, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2020; 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.