Empower Yourself Mental Health Counseling Services PC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

EMPOWER YOURSELF MENTAL HEALTH COUNSELING SERVICES PC

Practice address

4902 Queens Blvd Ste 2
Woodside, NY 11377-4445

Phone

(646) 656-0164

NPI assigned

Jul 22, 2019

Organization subpart

No

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

Authorized official

Name

Ms. Laura Marilyn Soriano, LMHCNPI 1497215545

Title

President

Phone

(646) 272-8058

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Laura Marilyn Soriano, LMHC

  • Counselor
  • Forest Hills, NY
  • NPI 1497215545

  Mental Health

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1563753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564444800000",
    "number": "1366095945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7714 113TH ST APT 2R",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113757111",
            "telephone_number": "646-272-8058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4902 QUEENS BLVD STE 2",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113774445",
            "telephone_number": "646-656-0164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPOWER YOURSELF MENTAL HEALTH COUNSELING SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-22",
        "last_updated": "2019-07-30",
        "status": "A",
        "authorized_official_last_name": "SORIANO",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "MARILYN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-272-8058",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Woodside, NY
• Providers in Woodside, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.