Doors to Freedom Mental Health Counseling Services, PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

P92035 Issued in NY

Legal business name

DOORS TO FREEDOM MENTAL HEALTH COUNSELING SERVICES, PLLC

Practice address

1259 Richmond Ave Ste 201
Staten Island, NY 10314-1521

Phone

(917) 935-2122

NPI assigned

Aug 23, 2016

Organization subpart

No

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

Authorized official

Name

Masha Shapiro-Berkovich

Title

Principal

Phone

(917) 935-2122

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1471910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471910400000",
    "number": "1740735471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1259 RICHMOND AVE STE 201",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103141521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1259 RICHMOND AVE STE 201",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103141521",
            "telephone_number": "917-935-2122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOORS TO FREEDOM MENTAL HEALTH COUNSELING SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-23",
        "last_updated": "2016-08-23",
        "status": "A",
        "authorized_official_last_name": "SHAPIRO-BERKOVICH",
        "authorized_official_first_name": "MASHA",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "917-935-2122"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "P92035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Mary Donohue, CCC-SLP
• Jennifer Eileen Donohue, M.S. CF-SLP, TSSLD
• Carol Doodian-Russo, RN
• Clement Dookhan
• Ann Drew Dooling, DPM
• Carol Dopman
• Kimberly Ellen Dore
• Anna Marie Dorelien, LPN, MSED, BCBA
• Wladimir Dorelien
• Ashley Dorf

• Mental Health Counselor in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2016; 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.