Organization Active NPI

Counseling in Comfort Therapeutic Associates, LLC

  • Clinical Social Worker
  • Hewlett, NY
National Provider Identifier
1356972657
Registry record updated Jan 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
COUNSELING IN COMFORT THERAPEUTIC ASSOCIATES, LLC
Practice address
63 Raymond PL
Hewlett, NY 11557-2309
Phone
(908) 337-0641
Fax
(973) 433-7850
NPI assigned
Jan 27, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2020

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

Authorized official

Name
Steven Krul, LCSW
Title
Owner
Phone
(908) 337-0641

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

63 Raymond PL
Hewlett, NY 11557-2309

Mailing address

63 Raymond PL
Hewlett, NY 11557-2309
Phone (908) 337-0641

Other identifiers 1

IdentifierTypeStateIssuer
1508222456OtherNPI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1580083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580083200000",
    "number": "1356972657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 RAYMOND PL",
            "city": "HEWLETT",
            "state": "NY",
            "postal_code": "115572309",
            "telephone_number": "908-337-0641",
            "fax_number": "973-433-7850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 RAYMOND PL",
            "city": "HEWLETT",
            "state": "NY",
            "postal_code": "115572309",
            "telephone_number": "908-337-0641",
            "fax_number": "973-433-7850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING IN COMFORT THERAPEUTIC ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-27",
        "last_updated": "2020-01-27",
        "certification_date": "2020-01-27",
        "status": "A",
        "authorized_official_last_name": "KRUL",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-337-0641",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1508222456",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hewlett, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.