Organization Active NPI

Blanton Peale Community Counseling Centers

  • Mental Health Counselor
  • Brooklyn, NY
National Provider Identifier
1790995173
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
000677 Issued in NY
Legal business name
BLANTON PEALE COMMUNITY COUNSELING CENTERS
Practice address
First Unitarian Church
50 Monroe Place
Brooklyn, NY 11201
Phone
(718) 253-9001
NPI assigned
May 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Pamela Pater Ennis, M.DIV., LCSW
Title
Director
Phone
(718) 253-9001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 000677 NY Primary

Addresses

Primary practice location

First Unitarian Church
50 Monroe Place
Brooklyn, NY 11201

Mailing address

949 W End Ave Apt 10F
New York, NY 10025-3586
Phone (212) 662-8986

National Provider Directory

National Provider Directory

Locations

50 Monroe Pl
Brooklyn, NY 11201
Phone (718) 253-9001

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790995173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "949 W END AVE APT 10F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100253586",
            "telephone_number": "212-662-8986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "FIRST UNITARIAN CHURCH",
            "address_2": "50 MONROE PLACE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11201",
            "telephone_number": "718-253-9001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLANTON PEALE COMMUNITY COUNSELING CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ENNIS",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "PATER",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "718-253-9001",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.DIV., LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "000677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.