Active NPI
Alfonso Ferguson, M.A. MHC
- Mental Health Counselor
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- P94437
- Practice address
- 19 W 34TH St
Penthouse
New York, NY 10001-3006 - Phone
- (646) 629-8351
- NPI assigned
- Oct 1, 2014
- Last updated
- Aug 22, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | P94437 | NY | Primary |
| Mental Health Counselor | 101YM0800X | 007195 | NY |
Addresses
Primary practice location
19 W 34TH St
Penthouse
New York, NY 10001-3006
Mailing address
2340 Adam Clayton Powell Jr Blvd
22
New York, NY 10030-2304
Phone (954) 494-8327
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P94437 | NY | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Goodwerk & Company LLC | Mental Health | Current | Accepting new patients |
| Global Trauma Research Inc. | Current | Accepting new patients |
Locations
801 Douglas Ave
Ste 1001
Altamonte Springs, FL 32714
Phone (646) 971-0513
613 Washington Blvd
Jersey City, NJ 07310
Phone (201) 252-7551
2329 Nostrand Ave
Ste 100
Brooklyn, NY 11210
Phone (301) 294-0093
19 W 34th St
Ph
New York, NY 10001
Phone (917) 297-8500
19 W 34th St
Ph L
New York, NY 10001
442 5th Ave
New York, NY 10018
Phone (347) 746-9218
442 5th Ave
Ste 1964
New York, NY 10018
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Brooklyn, NY
- NPI 1619495512
-
- Mental Health Counselor
- New York, NY
- NPI 1376252924
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471824000000",
"number": "1720481930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2340 ADAM CLAYTON POWELL JR BLVD",
"address_2": "22",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100302304",
"telephone_number": "954-494-8327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 W 34TH ST",
"address_2": "PENTHOUSE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100013006",
"telephone_number": "646-629-8351"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERGUSON",
"first_name": "ALFONSO",
"name_prefix": "Mr.",
"credential": "M.A. MHC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-10-01",
"last_updated": "2016-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "P94437",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "007195",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.