Organization Active NPI

Christ Based Therapy LCSW P.C.

  • Community/Behavioral Health Agency
  • Jamaica, NY
National Provider Identifier
1700139466
Registry record updated Apr 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
R075177-1 Issued in NY
Legal business name
CHRIST BASED THERAPY LCSW P.C.
Practice address
18240 Hillside Ave
1St Floor
Jamaica, NY 11432-4837
Phone
(917) 562-7354
NPI assigned
Oct 18, 2012
Last updated
Apr 11, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2013

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

Authorized official

Name
Anita Esther La Rosa, LCSW-RNPI 1003054644
Title
Clinical Director
Phone
(917) 562-7354

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X R075177-1 NY Primary

Addresses

Primary practice location

18240 Hillside Ave
1St Floor
Jamaica, NY 11432-4837

Mailing address

18240 Hillside Ave
1St Floor
Jamaica, NY 11432-4837
Phone (917) 562-7354

National Provider Directory

National Provider Directory

Locations

18240 Hillside Ave
Jamaica, NY 11432
Phone (917) 562-7354

18240 Hillside Ave
Fl 1
Jamaica, NY 11432
Phone (917) 562-7354

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1350518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365638400000",
    "number": "1700139466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18240 HILLSIDE AVE",
            "address_2": "1ST FLOOR",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114324837",
            "telephone_number": "917-562-7354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18240 HILLSIDE AVE",
            "address_2": "1ST FLOOR",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114324837",
            "telephone_number": "917-562-7354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRIST BASED THERAPY LCSW P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-18",
        "last_updated": "2013-04-11",
        "status": "A",
        "authorized_official_last_name": "LA ROSA",
        "authorized_official_first_name": "ANITA",
        "authorized_official_middle_name": "ESTHER",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "917-562-7354",
        "authorized_official_credential": "LCSW-R"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": "R075177-1",
            "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 Apr 11, 2013; 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.