Organization Active NPI

Growth Wellness Services LCSW, PLLC

  • Mental Health Counselor
  • Tarrytown, NY
National Provider Identifier
1760156814
Registry record updated Oct 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
GROWTH WELLNESS SERVICES LCSW, PLLC
Practice address
54 Main St Ste 201
Tarrytown, NY 10591-3660
Phone
(914) 595-6682
Fax
(914) 595-4236
NPI assigned
Aug 3, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2022

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

Authorized official

Name
Ms. Toyae Liverpool, LCSW
Title
Executive Director/Founder
Phone
(914) 595-6682

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

54 Main St Ste 201
Tarrytown, NY 10591-3660

Mailing address

54 Main St Ste 201
Tarrytown, NY 10591-3660
Phone (914) 595-6682

Other identifiers 1

IdentifierTypeStateIssuer
06568827MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210827001441 NY Part B Supplier - Clinic/Group Practice 6103221288 Practice locations: Tarrytown, NY

National Provider Directory

National Provider Directory

Locations

54 Main St
Ste 201
Tarrytown, NY 10591
Phone (914) 335-3414

Practitioners & affiliated clinicians

Practitioners 1

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": "1627948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665446400000",
    "number": "1760156814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 MAIN ST STE 201",
            "city": "TARRYTOWN",
            "state": "NY",
            "postal_code": "105913660",
            "telephone_number": "914-595-6682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 MAIN ST STE 201",
            "city": "TARRYTOWN",
            "state": "NY",
            "postal_code": "105913660",
            "telephone_number": "914-595-6682",
            "fax_number": "914-595-4236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROWTH WELLNESS SERVICES LCSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-03",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A",
        "authorized_official_last_name": "LIVERPOOL",
        "authorized_official_first_name": "TOYAE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR/FOUNDER",
        "authorized_official_telephone_number": "914-595-6682",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06568827",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarrytown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.