Integrative Mental Health Counselor of Ny

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

INTEGRATIVE MENTAL HEALTH COUNSELOR OF NY

Practice address

242 W 30TH Street
Suite 602
New York, NY 10001-4954

Phone

(917) 268-9213

NPI assigned

Jun 19, 2023

Organization subpart

No

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

Authorized official

Name

Juan Robles-Gil

Title

Owner

Phone

(917) 268-9213

Specialties & licenses 1

Addresses

Other names 1

• Integrative Therapy Center Doing business as

Locations

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

{
    "created_epoch": "1687132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687132800000",
    "number": "1780369652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 W 30TH STREET",
            "address_2": "SUITE 602",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100014954",
            "telephone_number": "917-268-9213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 W 30TH STREET",
            "address_2": "SUITE 602",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100014954",
            "telephone_number": "917-268-9213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE MENTAL HEALTH COUNSELOR OF NY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-19",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A",
        "authorized_official_last_name": "ROBLES-GIL",
        "authorized_official_first_name": "JUAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-268-9213"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integrative Therapy Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Integrative Medical Concepts P.C
• Integrative Medical Ny
• Integrative Medical P.C.
• Integrative Medicine of Midtown
• Integrative Medicine of Nyc
• Integrative Mind Body Dental Telehealth LLC
• Integrative Neuropsych Center
• Integrative Pain Medicine Nyc PLLC
• Integrative Physical Medicine and Rehabilitation, PC
• Integrative Physical Therapy of New York, PC

• Mental Health Counselor in New York, NY
• Providers in New York, 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 Jun 19, 2023; 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.