Organization Active NPI

Cognitive Behavorial Therapy Mental Health Counseling PLLC

  • Mental Health Counselor
  • Staten Island, NY
National Provider Identifier
1477899920
Registry record updated Jul 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
004239 Issued in NY
Legal business name
COGNITIVE BEHAVORIAL THERAPY MENTAL HEALTH COUNSELING PLLC
Practice address
83 Hartford Ave
Staten Island, NY 10310-3111
Phone
(718) 981-2310
Fax
(917) 567-7034
NPI assigned
Jan 2, 2013
Last updated
Jul 19, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2026

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

Authorized official

Name
Whitney Bade
Title
Head of Credentialing
Phone
(617) 326-3751

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 004239 NY Primary

Addresses

Primary practice location

83 Hartford Ave
Staten Island, NY 10310-3111

Mailing address

83 Hartford Ave
Staten Island, NY 10310-3111
Phone (718) 981-2310

National Provider Directory

National Provider Directory

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1357084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784419200000",
    "number": "1477899920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 HARTFORD AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103103111",
            "telephone_number": "718-981-2310",
            "fax_number": "917-567-7034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 HARTFORD AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103103111",
            "telephone_number": "718-981-2310",
            "fax_number": "917-567-7034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COGNITIVE BEHAVORIAL THERAPY MENTAL HEALTH COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-02",
        "last_updated": "2026-07-19",
        "certification_date": "2026-07-19",
        "status": "A",
        "authorized_official_last_name": "BADE",
        "authorized_official_first_name": "WHITNEY",
        "authorized_official_title_or_position": "HEAD OF CREDENTIALING",
        "authorized_official_telephone_number": "617-326-3751"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "004239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2026; 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.