Mind Meets Movement Counseling Services, PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

MIND MEETS MOVEMENT COUNSELING SERVICES, PLLC

Practice address

381 Sunrise Hwy Ste 602
Lynbrook, NY 11563-3006

Phone

(516) 500-3528

NPI assigned

Jul 8, 2020

Organization subpart

No

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

Authorized official

Name

Ms. Katiuscia K Gray, LCSW-RNPI 1609017326

Title

Owner/ Executive Director

Phone

(516) 500-3528

Specialties & licenses 1

Addresses

Other names 1

• Katiuscia Gray, LCSW Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Katiuscia Gray, LCSW

  • Clinical Social Worker
  • Jamaica, NY
  • NPI 1609017326
  NPD Authorized official
• Jaclyn Bruno, LMSW

  • Social Worker
  • Valley Stream, NY
  • NPI 1205433869
  NPD (past)

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

{
    "created_epoch": "1594166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623628800000",
    "number": "1750909644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 72",
            "city": "MALVERNE",
            "state": "NY",
            "postal_code": "115650072",
            "telephone_number": "917-415-4562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "381 SUNRISE HWY STE 602",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115633006",
            "telephone_number": "516-500-3528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND MEETS MOVEMENT COUNSELING SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-08",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "KATIUSCIA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER/ EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "516-500-3528",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW-R"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Katiuscia Gray, LCSW",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Katiuscia Gray, LCSW",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Lynbrook, NY
• Providers in Lynbrook, NY by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2021; 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.