Fresh Start Counseling, LCSW, PC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

082316 Issued in NY

Legal business name

FRESH START COUNSELING, LCSW, PC

Practice address

444 W. Main St
Patchogue, NY 11772-3012

Phone

(631) 307-9797

Fax

(631) 307-9797

NPI assigned

Aug 19, 2015

Organization subpart

No

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

Authorized official

Name

Julianne Doughty, LCSW

Title

Clinical Director/Ceo

Phone

(631) 307-9797

Specialties & licenses 1

Addresses

Other names 1

• Fresh Start Counseling Doing business as

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

{
    "created_epoch": "1439942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439942400000",
    "number": "1437525946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 W. MAIN ST",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117723012",
            "telephone_number": "631-307-9797",
            "fax_number": "631-307-9797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 W. MAIN ST",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117723012",
            "telephone_number": "631-307-9797",
            "fax_number": "631-307-9797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESH START COUNSELING, LCSW, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-19",
        "last_updated": "2015-08-19",
        "status": "A",
        "authorized_official_last_name": "DOUGHTY",
        "authorized_official_first_name": "JULIANNE",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR/CEO",
        "authorized_official_telephone_number": "631-307-9797",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": "082316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fresh Start Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Courtney Foster
• Jessica O'Kula Berry Fox, M.S. CCC-SLP
• Tammy J Fox, RN
• Nickolas T. Frangis, PT, DPT
• Frank J. Granati DDS, PLLC
• William James Friedel, DDS
• Samantha Friedman, PA
• Susanne Irene Frische
• Nikole Frodella
• Jeanne Marie Frost, MA, SLP, CCC

• Community/Behavioral Health Agency in Patchogue, NY
• Providers in Patchogue, NY by specialty
• Community/Behavioral Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2015; 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.