Nurtured Soul Licensed Mental Health Counseling, PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

NURTURED SOUL LICENSED MENTAL HEALTH COUNSELING, PLLC

Practice address

21 Old Main St
Fishkill, NY 12524-1848

Phone

(845) 546-9555

NPI assigned

Feb 21, 2020

Last updated

Feb 21, 2020By 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

Kristen Henn Mosco, LMHC, NCC

Title

Owner

Phone

(845) 546-9555

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1582243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582243200000",
    "number": "1487287058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1018 MAIN ST UNIT 383",
            "city": "FISHKILL",
            "state": "NY",
            "postal_code": "125247537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 OLD MAIN ST",
            "city": "FISHKILL",
            "state": "NY",
            "postal_code": "125241848",
            "telephone_number": "845-546-9555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NURTURED SOUL LICENSED MENTAL HEALTH COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-21",
        "last_updated": "2020-02-21",
        "certification_date": "2020-02-21",
        "status": "A",
        "authorized_official_last_name": "MOSCO",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_middle_name": "HENN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-546-9555",
        "authorized_official_credential": "LMHC, NCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Fishkill, NY
• Providers in Fishkill, 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 Feb 21, 2020; 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.