Active NPI
Enduring Change Therapy, Mental Health Counseling
Doing business as Enduring Change Therapy
- Mental Health Clinic/Center (Including Community Mental Health Center)
- New York, NY
National Provider Identifier
1790439834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- ENDURING CHANGE THERAPY, MENTAL HEALTH COUNSELING
- Doing business as
- Enduring Change Therapy
- Practice address
- 400 W 61St St Apt 321
New York, NY 10023-0194 - Phone
- (914) 266-0327
- NPI assigned
- Feb 8, 2022
- 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
- Dr. Jennifer Nelson, LMHC
- Title
- Owner / Therapist
- Phone
- (914) 266-0327
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
400 W 61St St Apt 321
New York, NY 10023-0194
Mailing address
400 W 61St St Apt 321
New York, NY 10023-0194
Other names 1
- Enduring Change Therapy
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.
-
- Mental Health Counselor
- New York, NY
- NPI 1992388607
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644278400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1644278400000",
"number": "1790439834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 W 61ST ST APT 321",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100230194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 W 61ST ST APT 321",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100230194",
"telephone_number": "914-266-0327"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ENDURING CHANGE THERAPY, MENTAL HEALTH COUNSELING",
"organizational_subpart": "NO",
"enumeration_date": "2022-02-08",
"last_updated": "2022-02-08",
"certification_date": "2022-02-08",
"status": "A",
"authorized_official_last_name": "NELSON",
"authorized_official_first_name": "JENNIFER",
"authorized_official_title_or_position": "OWNER / THERAPIST",
"authorized_official_telephone_number": "914-266-0327",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "LMHC"
},
"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": "Enduring Change Therapy",
"code": "3",
"type": "Doing Business As"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.