Avenues Mental Health Counseling, PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

005169 Issued in NY

Legal business name

AVENUES MENTAL HEALTH COUNSELING, PLLC

Practice address

115 Irving Ave FL 1
Brooklyn, NY 11237-8024

Phone

(347) 560-3480

Fax

(347) 705-7860

NPI assigned

Oct 4, 2017

Organization subpart

No

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

Authorized official

Name

Alexandra Roldan, LMHC

Title

Owner

Phone

(516) 840-3680

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1507075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507075200000",
    "number": "1518477405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 KENSINGTON RD S",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115305324",
            "telephone_number": "516-840-3680",
            "fax_number": "347-705-7860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 IRVING AVE FL 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112378024",
            "telephone_number": "347-560-3480",
            "fax_number": "347-705-7860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVENUES MENTAL HEALTH COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-04",
        "last_updated": "2017-10-04",
        "status": "A",
        "authorized_official_last_name": "ROLDAN",
        "authorized_official_first_name": "ALEXANDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-840-3680",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "005169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Brooklyn, NY
• Providers in Brooklyn, 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 Oct 4, 2017; 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.