Active NPI
Christ Based Therapy LCSW P.C.
- Community/Behavioral Health Agency
- Jamaica, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- R075177-1
- 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, 2013
- 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
- Anita Esther La Rosa, LCSW-R
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Mental Health Counselor
- Jamaica, NY
- NPI 1003054644
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.