NPIMap

Organization Active NPI

Aldea Counseling Services LCSW PC

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1801137708
Registry record updated Jul 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
ALDEA COUNSELING SERVICES LCSW PC
Practice address
601 W 150TH St
New York, NY 10031-2449
Phone
(917) 822-3036
NPI assigned
Mar 3, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2023

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

Authorized official

Name
Jonathon Moon
Title
Director of Operations
Phone
(917) 359-6099

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

601 W 150TH St
New York, NY 10031-2449

Mailing address

55 Parkway W
Mount Vernon, NY 10552-1142
Phone (917) 359-6099

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130510000127 NY Part B Supplier - Clinic/Group Practice 1052558004 Practice locations: New York, NY

National Provider Directory

National Provider Directory

Locations

601 W 150th St
New York, NY 10031
Phone (212) 491-2910

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1362268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689379200000",
    "number": "1801137708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 PARKWAY W",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105521142",
            "telephone_number": "917-359-6099",
            "fax_number": "646-786-4535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 W 150TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100312449",
            "telephone_number": "917-822-3036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALDEA COUNSELING SERVICES LCSW PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-03",
        "last_updated": "2023-07-15",
        "certification_date": "2023-07-15",
        "status": "A",
        "authorized_official_last_name": "MOON",
        "authorized_official_first_name": "JONATHON",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "917-359-6099"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.