Active NPI
Success Counseling Services, Inc.
- Community/Behavioral Health Agency
- Bronx, NY
National Provider Identifier
1740366749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- SUCCESS COUNSELING SERVICES, INC.
- Practice address
- 139 W 168TH Street
Bronx, NY 10452-5401 - Phone
- (718) 538-6112
- Fax
- (718) 992-3584
- NPI assigned
- Oct 31, 2006
- 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
- Mr. Larry G Fruit
- Title
- Executive Director
- Phone
- (608) 347-6649
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary | ||
| Clinic/Center | 261Q00000X | 051111032 | NY |
Addresses
Primary practice location
139 W 168TH Street
Bronx, NY 10452-5401
Mailing address
139 W 168TH Street
Bronx, NY 10452-5401
Phone (718) 538-6112
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02061847 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
139 W 168th St
Bronx, NY 10452
Phone (718) 538-6112
1015 Ogden Ave
Bronx, NY 10452
Phone (516) 236-6681
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Addiction (Substance Use Disorder) Counselor
- Bronx, NY
- NPI 1205649472
-
- Marriage & Family Therapist
- Bronx, NY
- NPI 1861869331
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162252800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1671062400000",
"number": "1740366749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "139 W 168TH STREET",
"city": "BRONX",
"state": "NY",
"postal_code": "104525401",
"telephone_number": "718-538-6112",
"fax_number": "718-992-3584"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "139 W 168TH STREET",
"city": "BRONX",
"state": "NY",
"postal_code": "104525401",
"telephone_number": "718-538-6112",
"fax_number": "718-992-3584"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUCCESS COUNSELING SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-31",
"last_updated": "2022-12-15",
"certification_date": "2022-12-15",
"status": "A",
"authorized_official_last_name": "FRUIT",
"authorized_official_first_name": "LARRY",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "608-347-6649",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "NY",
"license": "051111032",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02061847",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.