Active NPI
Cis Counseling Center Inc
- Mental Health Clinic/Center (Including Community Mental Health Center)
- New York, NY
National Provider Identifier
1548324650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- CIS COUNSELING CENTER INC
- Practice address
- 116 John St
27TH Floor
New York, NY 10038-3300 - Phone
- (212) 385-0086
- Fax
- (212) 732-0757
- NPI assigned
- Dec 21, 2006
- Last updated
- Jul 9, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Barbara Peskin, LCSW
- Title
- Executive Director
- Phone
- (212) 385-0086
Specialties & licenses 12
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | NU | Primary | |
| Counselor | 101Y00000X | NU | ||
| Mental Health Counselor | 101YM0800X | NU | ||
| Psychologist | 103T00000X | NU | ||
| Counseling Psychologist | 103TC1900X | NU | ||
| Social Worker | 104100000X | NU | ||
| Clinical Social Worker | 1041C0700X | NU | ||
| Child & Adolescent Psychiatric/Mental Health Registered Nurse | 163WP0807X | NU | ||
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | NU | ||
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | NU | ||
| Psychiatry Physician | 2084P0800X | NU | ||
| General Practice Physician | 208D00000X | NU |
Addresses
Primary practice location
116 John St
27TH Floor
New York, NY 10038-3300
Mailing address
116 John St
27TH Floor
New York, NY 10038-3300
Phone (212) 385-0086
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01082397 | Medicaid | NY |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 27
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-
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-
- Counselor
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- NPI 1033374152
-
- Addiction (Substance Use Disorder) Counselor
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- NPI 1891947289
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- Addiction (Substance Use Disorder) Counselor
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166659200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1215561600000",
"number": "1548324650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 JOHN ST",
"address_2": "27TH FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100383300",
"telephone_number": "212-385-0086",
"fax_number": "212-732-0757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 JOHN ST",
"address_2": "27TH FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100383300",
"telephone_number": "212-385-0086",
"fax_number": "212-732-0757"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CIS COUNSELING CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-21",
"last_updated": "2008-07-09",
"status": "A",
"authorized_official_last_name": "PESKIN",
"authorized_official_first_name": "BARBARA",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "212-385-0086",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "163WP0807X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "163WP0809X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01082397",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.