Organization Active NPI

SMC Counseling Services

  • Exclusive Provider Organization
  • North Baldwin, NY
National Provider Identifier
1518212935
Registry record updated Jul 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
001431-1 Issued in NY
Legal business name
SMC COUNSELING SERVICES
Practice address
1866 Fargo St
North Baldwin, NY 11510-2405
Phone
(516) 698-5045
NPI assigned
Jul 23, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2012

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

Authorized official

Name
Mrs. Samine Charles, LMHCNPI 1942528914
Title
Licensed Mental Health Counselor
Phone
(516) 698-5045

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X 001431-1 NY Primary

Addresses

Primary practice location

1866 Fargo St
North Baldwin, NY 11510-2405

Mailing address

1866 Fargo St
North Baldwin, NY 11510-2405
Phone (516) 698-5045

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.

NPI Registry JSON

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

{
    "created_epoch": "1343001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343001600000",
    "number": "1518212935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1866 FARGO ST",
            "city": "NORTH BALDWIN",
            "state": "NY",
            "postal_code": "115102405",
            "telephone_number": "516-698-5045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1866 FARGO ST",
            "city": "NORTH BALDWIN",
            "state": "NY",
            "postal_code": "115102405",
            "telephone_number": "516-698-5045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMC COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-23",
        "last_updated": "2012-07-23",
        "status": "A",
        "authorized_official_last_name": "CHARLES",
        "authorized_official_first_name": "SAMINE",
        "authorized_official_title_or_position": "LICENSED MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "516-698-5045",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "NY",
            "license": "001431-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Baldwin, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.