Active NPI
Mental Health Counseling of Oswego County, PLLC
- Mental Health Counselor
- Fulton, NY
National Provider Identifier
1609265271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- MENTAL HEALTH COUNSELING OF OSWEGO COUNTY, PLLC
- Practice address
- 188 S 3Rd St
Fulton, NY 13069-1801 - Phone
- (315) 207-5435
- Fax
- (315) 207-5435
- NPI assigned
- Jan 20, 2015
- 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
- Tiffany Jane Gentile
- Title
- LMHC, Director
- Phone
- (315) 207-5435
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary | ||
| Point of Service | 305S00000X | 837827415 | NY |
Addresses
Primary practice location
188 S 3Rd St
Fulton, NY 13069-1801
Mailing address
188 S 3Rd St
Fulton, NY 13069-1801
Phone (315) 207-5435
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 837827415 | Other | NY | SUNY ADJUNCT PROFESSOR REGISTRATION |
Other names 1
- Counseling and Healing Arts of Oswego, Inc
National Provider Directory
National Provider Directory- Tax ID family
- Counseling and Healing Arts of Oswego Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Fulton, NY
- NPI 1003205469
Locations
188 S 3rd St
Fulton, NY 13069
Phone (315) 207-5435
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421712000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1511222400000",
"number": "1609265271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "188 S 3RD ST",
"city": "FULTON",
"state": "NY",
"postal_code": "130691801",
"telephone_number": "315-207-5435",
"fax_number": "315-410-5544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "188 S 3RD ST",
"city": "FULTON",
"state": "NY",
"postal_code": "130691801",
"telephone_number": "315-207-5435",
"fax_number": "315-207-5435"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MENTAL HEALTH COUNSELING OF OSWEGO COUNTY, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-01-20",
"last_updated": "2017-11-21",
"status": "A",
"authorized_official_last_name": "GENTILE",
"authorized_official_first_name": "TIFFANY",
"authorized_official_middle_name": "JANE",
"authorized_official_title_or_position": "LMHC, DIRECTOR",
"authorized_official_telephone_number": "315-207-5435"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "305S00000X",
"taxonomy_group": "",
"desc": "Point of Service",
"state": "NY",
"license": "837827415",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SUNY ADJUNCT PROFESSOR REGISTRATION",
"identifier": "837827415",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Counseling and Healing Arts of Oswego, Inc",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Fulton, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.