Organization Active NPI

New Leaf Counseling Center

  • Clinical Social Worker
  • Woodhaven, NY
National Provider Identifier
1326614124
Registry record updated Aug 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
NEW LEAF COUNSELING CENTER
Practice address
8780 97TH St
Woodhaven, NY 11421-2254
Phone
(347) 636-9305
NPI assigned
Jun 2, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2021

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

Authorized official

Name
Miss Asha Nicole Bissoondial
Title
Director
Phone
(347) 636-9305

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

8780 97TH St
Woodhaven, NY 11421-2254

Mailing address

8780 97TH St
Woodhaven, NY 11421-2254
Phone (347) 636-9305

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1622592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628121600000",
    "number": "1326614124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8780 97TH ST",
            "city": "WOODHAVEN",
            "state": "NY",
            "postal_code": "114212254",
            "telephone_number": "347-636-9305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8780 97TH ST",
            "city": "WOODHAVEN",
            "state": "NY",
            "postal_code": "114212254",
            "telephone_number": "347-636-9305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LEAF COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-02",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A",
        "authorized_official_last_name": "BISSOONDIAL",
        "authorized_official_first_name": "ASHA",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "347-636-9305",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodhaven, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.