Organization Active NPI

Gardenia Counseling Services, LCSW, PLLC

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1578291316
Registry record updated Aug 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
GARDENIA COUNSELING SERVICES, LCSW, PLLC
Practice address
244 5TH Ave # J284
New York, NY 10001-7604
Phone
(347) 514-9196
NPI assigned
Aug 10, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2022

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

Authorized official

Name
Juana Trejo-Reyes, LCSWNPI 1174868624
Title
Manager
Phone
(347) 514-9196

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary
Adult Mental Health Clinic/Center 261QM0850X

Addresses

Primary practice location

244 5TH Ave # J284
New York, NY 10001-7604

Mailing address

244 5TH Ave # J284
New York, NY 10001-7604
Phone (347) 514-9196

National Provider Directory

National Provider Directory

Locations

244 5th Ave
#J284
New York, NY 10001
Phone (347) 514-9196

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": "1660089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661299200000",
    "number": "1578291316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 5TH AVE # J284",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100017604",
            "telephone_number": "347-514-9196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 5TH AVE # J284",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100017604",
            "telephone_number": "347-514-9196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDENIA COUNSELING SERVICES, LCSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-10",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A",
        "authorized_official_last_name": "TREJO-REYES",
        "authorized_official_first_name": "JUANA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "347-514-9196",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Aug 24, 2022; 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.