Active NPI
Tree of Life Counseling, LCSW, PLLC
- Clinical Social Worker
- Rochester, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- TREE OF LIFE COUNSELING, LCSW, PLLC
- Practice address
- 95 Allens Creek Road
BLD 1 Suite 250
Rochester, NY 14618 - Phone
- (585) 364-2050
- Fax
- (585) 625-0077
- NPI assigned
- Jan 2, 2020
- 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
- Dr. Mary Z Macleod, PHD, LCSWR
- Title
- Owner
- Phone
- (585) 364-2050
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
95 Allens Creek Road
BLD 1 Suite 250
Rochester, NY 14618
Mailing address
95 Allens Creek Road
BLD 1 Suite 250
Rochester, NY 14618
Phone (585) 364-2050
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336529973 | Other | NY | HMO |
Other names 1
- Tree of Life Counseling
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Rochester | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
95 Allens Creek Rd
Ste 200
Rochester, NY 14618
Phone (585) 364-2050
95 Allens Creek Rd
Ste 250
Rochester, NY 14618
Phone (585) 364-2050
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Rochester, NY
- NPI 1336529973
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1577923200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1594252800000",
"number": "1639718034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "95 ALLENS CREEK ROAD",
"address_2": "BLD 1 SUITE 250",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "14618",
"telephone_number": "585-364-2050",
"fax_number": "585-625-0077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "95 ALLENS CREEK ROAD",
"address_2": "BLD 1 SUITE 250",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "14618",
"telephone_number": "585-364-2050",
"fax_number": "585-625-0077"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TREE OF LIFE COUNSELING, LCSW, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-01-02",
"last_updated": "2020-07-09",
"certification_date": "2020-07-09",
"status": "A",
"authorized_official_last_name": "MACLEOD",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "Z",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "585-364-2050",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD, LCSWR"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMO",
"identifier": "1336529973",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Rochester",
"affiliation": "N",
"endpointDescription": "EMR",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "Rochester",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Rochester",
"address_1": "95 Allens Creek Road",
"address_2": "Bldg 1 Suite 250",
"city": "Rochester",
"state": "NY",
"country_code": "US",
"postal_code": "14618",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Tree of Life Counseling",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.