Silver Lake Counseling Services, LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

SILVER LAKE COUNSELING SERVICES, LLC

Practice address

201 Forest Ave
Staten Island, NY 10301

Phone

(718) 815-3155

NPI assigned

Mar 13, 2017

Last updated

May 25, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Avraham SchickNPI 1083070098

Title

Executive Director

Phone

(718) 815-3155

Specialties & licenses 3

Addresses

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.

• Avraham Schick, CASAC

  • Addiction (Substance Use Disorder) Counselor
  • Staten Island, NY
  • NPI 1083070098
  NPD Authorized official

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

{
    "created_epoch": "1489363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527206400000",
    "number": "1447791249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 FOREST AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103012763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 FOREST AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "10301",
            "telephone_number": "718-815-3155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVER LAKE COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-13",
        "last_updated": "2018-05-25",
        "status": "A",
        "authorized_official_last_name": "SCHICK",
        "authorized_official_first_name": "AVRAHAM",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "718-815-3155"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Lynn Silva
• Briana Marie Silva, MD
• Sydney Grace Silva
• Jamie Lynn Silveira, MSSPED
• Silver Care Medical PC
• Silver Lake Medical PLLC
• Silver Lake Psychotherapy Associates, PLLC
• Silver Lake Specialized Rehabilitation & Care Center, LLC (Silver Lake Specialized Care Center)
• Silver Lake Support Services
• Silver Lake Support Services, Inc

• Adult Mental Health Clinic/Center in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Adult Mental Health Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2018; 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.