Advanced Counseling Resources LCSW PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

R029067-1 Issued in NY

Legal business name

ADVANCED COUNSELING RESOURCES LCSW PLLC

Practice address

10 Friendly LN
Jericho, NY 11753-2331

Phone

(516) 931-7367

Fax

(516) 938-5400

NPI assigned

Apr 9, 2008

Organization subpart

No

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

Authorized official

Name

Ellen SiberNPI 1215100359

Title

Sole Member

Phone

(516) 931-7367

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.

• Ellen A. Siber, LCSW

  • Clinical Social Worker
  • Jericho, NY
  • NPI 1215100359
  NPD (past) Authorized official

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

{
    "created_epoch": "1207699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207699200000",
    "number": "1407029549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 FRIENDLY LN",
            "city": "JERICHO",
            "state": "NY",
            "postal_code": "117532331",
            "telephone_number": "516-931-7367",
            "fax_number": "516-938-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 FRIENDLY LN",
            "city": "JERICHO",
            "state": "NY",
            "postal_code": "117532331",
            "telephone_number": "516-931-7367",
            "fax_number": "516-938-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED COUNSELING RESOURCES LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-09",
        "last_updated": "2008-04-09",
        "status": "A",
        "authorized_official_last_name": "SIBER",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "516-931-7367"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NY",
            "license": "R029067-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Jericho, NY
• Providers in Jericho, NY by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; 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.