No Shame Counseling & Consulting Services LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

NO SHAME COUNSELING & CONSULTING SERVICES LLC

Practice address

30 Sky LN
Staten Island, NY 10304-4656

Phone

(718) 986-2522

NPI assigned

May 8, 2024

Organization subpart

No

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

Authorized official

Name

Phyllis Ida Coachman, LCSWNPI 1689764953

Title

Managing Member

Phone

(718) 986-2522

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.

• Phyllis Ida Coachman, LCSWR

  • Mental Health Counselor
  • Brooklyn, NY
  • NPI 1689764953
  NPD Authorized official

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

{
    "created_epoch": "1715126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715126400000",
    "number": "1467200246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 SKY LN",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103044656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 SKY LN",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103044656",
            "telephone_number": "718-986-2522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NO SHAME COUNSELING & CONSULTING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-08",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-07",
        "status": "A",
        "authorized_official_last_name": "COACHMAN",
        "authorized_official_first_name": "PHYLLIS",
        "authorized_official_middle_name": "IDA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "718-986-2522",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; 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.