Organization Active NPI

Success Counseling Services, Inc.

  • Community/Behavioral Health Agency
  • Bronx, NY
National Provider Identifier
1740366749
Registry record updated Dec 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
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

Updated by the provider on Dec 15, 2022

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
02061847MedicaidNY

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.