Active NPI
New Creation Christian Counseling & Professional Services
- Mental Health Counselor
- Massapequa, NY
National Provider Identifier
1780858274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- R057190
- Legal business name
- NEW CREATION CHRISTIAN COUNSELING & PROFESSIONAL SERVICES
- Practice address
- 10 Ozone PL
Massapequa, NY 11758-6817 - Phone
- (516) 795-0009
- Fax
- (516) 797-8850
- NPI assigned
- Apr 16, 2008
- Last updated
- Jul 11, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Rene Alexia Smalling
- Title
- Secretary
- Phone
- (516) 795-0009
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | R057190 | NY | Primary |
Addresses
Primary practice location
10 Ozone PL
Massapequa, NY 11758-6817
Mailing address
10 Ozone PL
Massapequa, NY 11758-6817
Phone (516) 795-0009
Other identifiers 16
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 269983 | Other | NY | MHN |
| 747-9139 | Other | GHI | |
| 370673 | Other | NY | HARMONY BEHAVIORAL HEALTH |
| N90706 | Other | NY | HEALTH NET |
| R057190-A37 | Other | NY | HEALTH FIRST |
| 127123 | Other | NY | VYTRA HEALTH PLANS |
| P1020668 | Other | NY | OXFORD |
| IP573503 | Other | NY | MAGELLAN |
| 413031 | Other | NY | VALUE OPTIONS |
| 6238574 | Other | NY | UBH |
| 000530050201 | Other | NY | HEALTH PLUS |
| 7797384 | Other | NY | AETNA |
| N5V961 | Other | NY | EMPIRE BC/BS |
| 02385546 | Medicaid | NY | |
| 057190-N01 | Other | NY | HIP |
| 1826607 | Other | NY | CIGNA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Massapequa, NY
- NPI 1609961002
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208304000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1215734400000",
"number": "1780858274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 OZONE PL",
"city": "MASSAPEQUA",
"state": "NY",
"postal_code": "117586817",
"telephone_number": "516-795-0009",
"fax_number": "516-797-8850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 OZONE PL",
"city": "MASSAPEQUA",
"state": "NY",
"postal_code": "117586817",
"telephone_number": "516-795-0009",
"fax_number": "516-797-8850"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW CREATION CHRISTIAN COUNSELING & PROFESSIONAL SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-16",
"last_updated": "2008-07-11",
"status": "A",
"authorized_official_last_name": "SMALLING",
"authorized_official_first_name": "RENE",
"authorized_official_middle_name": "ALEXIA",
"authorized_official_title_or_position": "SECRETARY",
"authorized_official_telephone_number": "516-795-0009",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "R057190",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN",
"identifier": "269983",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "747-9139",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARMONY BEHAVIORAL HEALTH",
"identifier": "370673",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NET",
"identifier": "N90706",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH FIRST",
"identifier": "R057190-A37",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VYTRA HEALTH PLANS",
"identifier": "127123",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P1020668",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "IP573503",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "413031",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UBH",
"identifier": "6238574",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PLUS",
"identifier": "000530050201",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7797384",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BC/BS",
"identifier": "N5V961",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02385546",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIP",
"identifier": "057190-N01",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1826607",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Massapequa, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.