Active NPI
Counseling Service Edny
- Community/Behavioral Health Agency
- Jamaica, NY
National Provider Identifier
1619104239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 72079127
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 Edny
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Case Management Agency
- Brooklyn, NY
- NPI 1912327420
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.