Brisa Counseling Services LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

BRISA COUNSELING SERVICES LLC

Practice address

418 Chestnut Ave
South Hackensack, NJ 07606-1514

Phone

(646) 763-5298

NPI assigned

Aug 14, 2024

Last updated

Aug 14, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ana Suhail Rosa, LCSWNPI 1750578605

Title

Owner

Phone

(646) 763-5298

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Ana Suhail Rosa, LCSW

  • Social Worker
  • Bronx, NY
  • NPI 1750578605
  NPD Authorized official

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

{
    "created_epoch": "1723593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723593600000",
    "number": "1356173835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 CHESTNUT AVE",
            "city": "SOUTH HACKENSACK",
            "state": "NJ",
            "postal_code": "076061514",
            "telephone_number": "646-763-5298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 CHESTNUT AVE",
            "city": "SOUTH HACKENSACK",
            "state": "NJ",
            "postal_code": "076061514",
            "telephone_number": "646-763-5298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRISA COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-14",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A",
        "authorized_official_last_name": "ROSA",
        "authorized_official_first_name": "ANA",
        "authorized_official_middle_name": "SUHAIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-763-5298",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in South Hackensack, NJ
• Providers in South Hackensack, NJ by specialty
• Mental Health Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; 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.