Organization Active NPI

Counseling Service Edny

  • Community/Behavioral Health Agency
  • Jamaica, NY
National Provider Identifier
1619104239
Registry record updated Jun 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
72079127 Issued in NY
Legal business name
COUNSELING SERVICE EDNY
Practice address
16318 Jamaica Ave
Counseling Service of Edny
Jamaica, NY 11432-4901
Phone
(718) 658-0010
Fax
(718) 658-2962
NPI assigned
Jun 22, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2009

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

Authorized official

Name
Mr. Kevin Costin, LMSW
Title
Executive Director
Phone
(718) 250-4833

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 72079127 NY Primary

Addresses

Primary practice location

16318 Jamaica Ave
Counseling Service of Edny
Jamaica, NY 11432-4901

Mailing address

16318 Jamaica Ave
Counseling Service of Edny
Jamaica, NY 11432-4901
Phone (718) 658-0010

National Provider Directory

National Provider Directory
Tax ID family
Counseling Service Edny2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

16318 Jamaica Ave
Jamaica, NY 11432
Phone (718) 206-3440

NPI Registry JSON

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

{
    "created_epoch": "1245628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245715200000",
    "number": "1619104239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16318 JAMAICA AVE",
            "address_2": "COUNSELING SERVICE OF EDNY",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114324901",
            "telephone_number": "718-658-0010",
            "fax_number": "718-658-2962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16318 JAMAICA AVE",
            "address_2": "COUNSELING SERVICE OF EDNY",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114324901",
            "telephone_number": "718-658-0010",
            "fax_number": "718-658-2962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING SERVICE EDNY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-22",
        "last_updated": "2009-06-23",
        "status": "A",
        "authorized_official_last_name": "COSTIN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "718-250-4833",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": "72079127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2009; 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.