Organization Active NPI

Success Life Skills Services

  • Community/Behavioral Health Agency
  • Wheatley Heights, NY
National Provider Identifier
1669111589
Registry record updated May 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SUCCESS LIFE SKILLS SERVICES
Doing business as
Success Life Skills Services
Practice address
140 N 26TH St
Wheatley Heights, NY 11798-2005
Phone
(973) 370-2939
Fax
(631) 643-8183
NPI assigned
May 31, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2022

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

Authorized official

Name
Ms. Athena St. Juste I, MHCNPI 1144967845
Title
Coo/Life Coach
Phone
(973) 370-2939

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)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

140 N 26TH St
Wheatley Heights, NY 11798-2005

Mailing address

140 N 26TH St
Wheatley Heights, NY 11798-2005
Phone (973) 370-2939

Other names 1

  • Success Life Skills Services Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1653955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653955200000",
    "number": "1669111589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 N 26TH ST",
            "city": "WHEATLEY HEIGHTS",
            "state": "NY",
            "postal_code": "117982005",
            "telephone_number": "973-370-2939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 N 26TH ST",
            "city": "WHEATLEY HEIGHTS",
            "state": "NY",
            "postal_code": "117982005",
            "telephone_number": "973-370-2939",
            "fax_number": "631-643-8183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUCCESS LIFE SKILLS SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-31",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A",
        "authorized_official_last_name": "ST. JUSTE",
        "authorized_official_first_name": "ATHENA",
        "authorized_official_title_or_position": "COO/LIFE COACH",
        "authorized_official_telephone_number": "973-370-2939",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "MHC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Success Life Skills Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wheatley Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; 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.