Individual provider Active NPI

Alfonso Ferguson, M.A. MHC

  • Mental Health Counselor
  • New York, NY
National Provider Identifier
1720481930
Registry record updated Aug 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
P94437 Issued in NY
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, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250530001917 NY Practitioner - Mental Health Counselor 9537678776 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
P94437NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Goodwerk & Company LLC Mental Health Current Accepting new patients
Global Trauma Research Inc. CurrentSince Mar 23, 2025 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.

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

Verify at the official NPI Registry.