Community Counseling Services

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

081111107 Issued in NY

Legal business name

COMMUNITY COUNSELING SERVICES

Doing business as

Ruth M Meyer

Practice address

3281 Veterans Memorial Hwy
Suite E14
Ronkonkoma, NY 11779-7676

Phone

(631) 471-3122

Fax

(631) 471-3036

NPI assigned

Nov 10, 2006

Last updated

Jun 20, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Ruth M Meyer, LCSW-R,CASAC,NCACNPI 1528380136

Title

Director

Phone

(631) 471-3122

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ruth M Meyer Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

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.

• Ruth M Meyer, LCSW-R, CASAC

  • Clinical Social Worker
  • Ronkonkoma, NY
  • NPI 1528380136

  Addiction (Substance Use Disorder)

  NPD (past) Authorized official
• Melissa Marie Bennett, L.M.H.C.

  • Mental Health Counselor
  • Holbrook, NY
  • NPI 1104131465
  NPD (past)
• Louis Walthall, LCSWR, CASAC

  • Clinical Social Worker
  • Ronkonkoma, NY
  • NPI 1558502880

  Addiction (Substance Use Disorder)

  NPD (past)

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1831260082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3281 VETERANS MEMORIAL HWY",
            "address_2": "SUITE E14",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117797676",
            "telephone_number": "631-471-3122",
            "fax_number": "631-471-3036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3281 VETERANS MEMORIAL HWY",
            "address_2": "SUITE E14",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117797676",
            "telephone_number": "631-471-3122",
            "fax_number": "631-471-3036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-10",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "MEYER",
        "authorized_official_first_name": "RUTH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "631-471-3122",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW-R,CASAC,NCAC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "081111107",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01662344",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ruth M Meyer",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Addiction (Substance Use Disorder) Counselor in Ronkonkoma, NY
• Providers in Ronkonkoma, NY by specialty
• Addiction (Substance Use Disorder) Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.