NPIMap

Organization Active NPI

Care Counseling Center, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • New York, NY
National Provider Identifier
1588066716
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
CARE COUNSELING CENTER, LLC
Practice address
214 W 116TH St
New York, NY 10026-2494
Phone
(646) 432-4600
NPI assigned
Sep 18, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

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

Authorized official

Name
Mr. Farrukh Khwaja
Title
Manager
Phone
(516) 458-7898

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

214 W 116TH St
New York, NY 10026-2494

Mailing address

214 W 116TH St
New York, NY 10026-2494
Phone (646) 432-4600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160809000094 NY Part B Supplier - Clinic/Group Practice 3971897398 Receives reassigned benefits from 2 practitioners
Practice locations: New York, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2094969Care Counseling Center LLC214 W 116TH Street, New York, NY 10026Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Locations

214 W 116th St
New York, NY 10026
Phone (212) 602-1400

Practitioners & affiliated clinicians

Practitioners 12

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": "1410998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725580800000",
    "number": "1588066716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 W 116TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100262494",
            "telephone_number": "646-432-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 W 116TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100262494",
            "telephone_number": "646-432-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE COUNSELING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-18",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A",
        "authorized_official_last_name": "KHWAJA",
        "authorized_official_first_name": "FARRUKH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "516-458-7898",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Sep 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.