Organization Active NPI

Olive Branch Counseling LCSW PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Harrison, NY
National Provider Identifier
1295661502
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
OLIVE BRANCH COUNSELING LCSW PLLC
Practice address
258 Halstead Ave Unit 164
Harrison, NY 10528-7513
Phone
(929) 548-4785
NPI assigned
Jun 23, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

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

Authorized official

Name
Corina Manders, LCSWNPI 1124519053
Title
Owner
Phone
(929) 548-4785

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 Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

258 Halstead Ave Unit 164
Harrison, NY 10528-7513

Mailing address

258 Halstead Ave Unit 164
Harrison, NY 10528-7513

National Provider Directory

National Provider Directory

Locations

258 Halstead Ave
Unit 164
Harrison, NY 10528
Phone (929) 548-4785

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": "1782172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782172800000",
    "number": "1295661502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "258 HALSTEAD AVE UNIT 164",
            "city": "HARRISON",
            "state": "NY",
            "postal_code": "105287513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "258 HALSTEAD AVE UNIT 164",
            "city": "HARRISON",
            "state": "NY",
            "postal_code": "105287513",
            "telephone_number": "929-548-4785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVE BRANCH COUNSELING LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-23",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A",
        "authorized_official_last_name": "MANDERS",
        "authorized_official_first_name": "CORINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "929-548-4785",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrison, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2026; 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.