Organization Active NPI

Professional Counseling LCSW Services, PLLC

  • Professional Counselor
  • Utica, NY
National Provider Identifier
1790398683
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
PROFESSIONAL COUNSELING LCSW SERVICES, PLLC
Practice address
11057 Miller Rd
Utica, NY 13502-7013
Phone
(315) 733-0520
Fax
(315) 733-0518
NPI assigned
Aug 28, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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

Authorized official

Name
Judith Arden Petroski, LCSWNPI 1689698631
Title
Owner
Phone
(315) 733-0520

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

11057 Miller Rd
Utica, NY 13502-7013

Mailing address

11057 Miller Rd
Utica, NY 13502-7013
Phone (315) 733-0520

National Provider Directory

National Provider Directory

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": "1598572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759968000000",
    "number": "1790398683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11057 MILLER RD",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135027013",
            "telephone_number": "315-733-0520",
            "fax_number": "315-733-0518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11057 MILLER RD",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135027013",
            "telephone_number": "315-733-0520",
            "fax_number": "315-733-0518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL COUNSELING LCSW SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-28",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A",
        "authorized_official_last_name": "PETROSKI",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "ARDEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-733-0520",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Utica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; 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.