Queens/Long Island Counseling Services

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

P95482 Issued in NY

Legal business name

QUEENS/LONG ISLAND COUNSELING SERVICES

Practice address

168 Connecticut Ave
Freeport, NY 11520-1531

Phone

(516) 993-6815

NPI assigned

Aug 6, 2015

Last updated

Aug 6, 2015By 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

Jacqueline D PearceNPI 1699172759

Title

MHC

Phone

(516) 993-6815

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, and the practitioner matching its NPPES authorized official.

• Jacqueline D Pearce, MSED., LMHC

  • Mental Health Counselor
  • Freeport, NY
  • NPI 1699172759
  NPD (past) Authorized official

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

{
    "created_epoch": "1438819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438819200000",
    "number": "1508242009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4343 BOWNE ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553039",
            "telephone_number": "516-993-6815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 CONNECTICUT AVE",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115201531",
            "telephone_number": "516-993-6815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEENS/LONG ISLAND COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-06",
        "last_updated": "2015-08-06",
        "status": "A",
        "authorized_official_last_name": "PEARCE",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MHC",
        "authorized_official_telephone_number": "516-993-6815"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "P95482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prime Care Cpap Specialist LLC
• Nadia Prince
• Catherine Proto, LMSW
• Janice Pugliese
• Nana Yaa Quao-Aban
• Julner Quettant Jr., PT, DPT,MS
• Julie Quezada
• Ellayha Quinn, LPN
• Luis Guillermo Quinones, LMSW
• Shannon Lynda Quinton, ATC

• Mental Health Counselor in Freeport, NY
• Providers in Freeport, 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 Aug 6, 2015; 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.