Active NPI
Find Your Anchor Counseling Services LCSW PLLC
- Community/Behavioral Health Agency
- Port Jefferson Station, NY
National Provider Identifier
1407554967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- FIND YOUR ANCHOR COUNSELING SERVICES LCSW PLLC
- Practice address
- 1050 Hallock Ave Ste 4
Port Jefferson Station, NY 11776-1214 - Phone
- (631) 612-8816
- NPI assigned
- Feb 22, 2023
- Last updated
- Feb 22, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ashley A Petito, LCSW
- Title
- Owner/Clinician
- Phone
- (631) 612-8816
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
1050 Hallock Ave Ste 4
Port Jefferson Station, NY 11776-1214
Mailing address
PO Box 75
Shoreham, NY 11786-0075
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Clinical Social Worker
- Port Jefferson Station, NY
- NPI 1366169120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677024000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1677024000000",
"number": "1407554967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 75",
"city": "SHOREHAM",
"state": "NY",
"postal_code": "117860075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 HALLOCK AVE STE 4",
"city": "PORT JEFFERSON STATION",
"state": "NY",
"postal_code": "117761214",
"telephone_number": "631-612-8816"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FIND YOUR ANCHOR COUNSELING SERVICES LCSW PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-02-22",
"last_updated": "2023-02-22",
"certification_date": "2023-02-22",
"status": "A",
"authorized_official_last_name": "PETITO",
"authorized_official_first_name": "ASHLEY",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER/CLINICIAN",
"authorized_official_telephone_number": "631-612-8816",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Jefferson Station, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.