Organization Active NPI

Bienestar Bilingual Counseling Center LLC

  • Community/Behavioral Health Agency
  • Syracuse, NY
National Provider Identifier
1457626012
Registry record updated Mar 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
R070144 Issued in NY
Legal business name
BIENESTAR BILINGUAL COUNSELING CENTER LLC
Practice address
2717 Bellevue Ave
Syracuse, NY 13219-3233
Phone
(315) 437-1304
Fax
(315) 437-1315
NPI assigned
Mar 15, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2012

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

Authorized official

Name
Randall Stetson, LCSW
Title
Director
Phone
(315) 437-1304

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X R070144 NY Primary

Addresses

Primary practice location

2717 Bellevue Ave
Syracuse, NY 13219-3233

Mailing address

2717 Bellevue Ave
Syracuse, NY 13219-3233
Phone (315) 437-1304

National Provider Directory

National Provider Directory

Locations

2717 Bellevue Ave
Syracuse, NY 13219
Phone (315) 545-5271

NPI Registry JSON

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

{
    "created_epoch": "1331769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331769600000",
    "number": "1457626012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2717 BELLEVUE AVE",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132193233",
            "telephone_number": "315-437-1304",
            "fax_number": "315-437-1315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2717 BELLEVUE AVE",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132193233",
            "telephone_number": "315-437-1304",
            "fax_number": "315-437-1315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIENESTAR BILINGUAL COUNSELING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-15",
        "last_updated": "2012-03-15",
        "status": "A",
        "authorized_official_last_name": "STETSON",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "315-437-1304",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": "R070144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2012; 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.