NPIMap

Organization Active NPI

Family Counseling Center of Keene New York Inc

Doing business as Samaritan Family Counseling Center

  • Mental Health Counselor
  • Keene, NY
National Provider Identifier
1710923115
Registry record updated Aug 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
FAMILY COUNSELING CENTER OF KEENE NEW YORK INC
Doing business as
Samaritan Family Counseling Center
Practice address
10897 Nys Route 9N,
Suite 4
Keene, NY 12942-9998
Phone
(518) 576-4557
NPI assigned
Jun 22, 2006
Last updated
Aug 4, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2008

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

Authorized official

Name
Mr. John J. Haverlick, LCSRWNPI 1396772216
Title
Executive Director
Phone
(518) 576-4557

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary
Clinical Social Worker 1041C0700X
Marriage & Family Therapist 106H00000X

Addresses

Primary practice location

10897 Nys Route 9N,
Suite 4
Keene, NY 12942-9998

Mailing address

PO Box 48
10897 Nys Route 9N, Suite4
Keene, NY 12942-9998
Phone (518) 576-4557

Other names 1

  • Samaritan Family Counseling Center Doing business as

National Provider Directory

National Provider Directory

Locations

2841 Nys Route 73
Ste 3
Keene, NY 12942
Phone (518) 576-4557

28 Saint Bernard St
Saranac Lake, NY 12983
Phone (518) 891-3043

Practitioners & affiliated clinicians

Practitioners 4

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": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217808000000",
    "number": "1710923115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 48",
            "address_2": "10897 NYS ROUTE 9N, SUITE4",
            "city": "KEENE",
            "state": "NY",
            "postal_code": "129429998",
            "telephone_number": "518-576-4557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10897 NYS ROUTE 9N,",
            "address_2": "SUITE 4",
            "city": "KEENE",
            "state": "NY",
            "postal_code": "129429998",
            "telephone_number": "518-576-4557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY COUNSELING CENTER OF KEENE NEW YORK INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2008-08-04",
        "status": "A",
        "authorized_official_last_name": "HAVERLICK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "518-576-4557",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSRW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Samaritan Family Counseling Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Keene, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2008; 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.