NPIMap

Organization Active NPI

Mental Health Counseling Services of Nny PLLC

  • Health Maintenance Organization
  • Potsdam, NY
National Provider Identifier
1316397623
Registry record updated Jun 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
097441-1 Issued in NU
Legal business name
MENTAL HEALTH COUNSELING SERVICES OF NNY PLLC
Practice address
6956 State Highway 56
Potsdam, NY 13676-3628
Phone
(315) 268-0264
NPI assigned
Jun 16, 2016
Last updated
Jun 16, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2016

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

Authorized official

Name
Amy L Doboze, LMSW
Title
LMSW
Phone
(315) 268-0264

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 097441-1 NU Primary

Addresses

Primary practice location

6956 State Highway 56
Potsdam, NY 13676-3628

Mailing address

6956 State Highway 56
Potsdam, NY 13676-3628
Phone (315) 268-0264

Other identifiers 1

IdentifierTypeStateIssuer
135665128OtherNYNPI

National Provider Directory

National Provider Directory
Tax ID family
Mental Health Counseling Services of Nny PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6956 State Highway 56
Potsdam, NY 13676
Phone (315) 268-0264

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1466035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466035200000",
    "number": "1316397623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6956 STATE HIGHWAY 56",
            "city": "POTSDAM",
            "state": "NY",
            "postal_code": "136763628",
            "telephone_number": "315-268-0264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6956 STATE HIGHWAY 56",
            "city": "POTSDAM",
            "state": "NY",
            "postal_code": "136763628",
            "telephone_number": "315-268-0264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL HEALTH COUNSELING SERVICES OF NNY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-16",
        "last_updated": "2016-06-16",
        "status": "A",
        "authorized_official_last_name": "DOBOZE",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "LMSW",
        "authorized_official_telephone_number": "315-268-0264",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NU",
            "license": "097441-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "135665128",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Potsdam, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2016; 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.