Organization Active NPI

Your Life Matters Counseling Services LCSW, PLLC

  • Clinic/Center
  • Bronx, NY
National Provider Identifier
1851267124
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
YOUR LIFE MATTERS COUNSELING SERVICES LCSW, PLLC
Practice address
509 E 165TH St
Bronx, NY 10456-6637
Phone
(732) 523-4057
NPI assigned
Oct 14, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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

Authorized official

Name
Julson FabienNPI 1124672241
Title
Owner
Phone
(347) 939-5150

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
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

509 E 165TH St
Bronx, NY 10456-6637

Mailing address

509 E 165TH St
Bronx, NY 10456-6637

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251121001769 NY Part B Supplier - Clinic/Group Practice 7810489440 Receives reassigned benefits from 1 practitioner
Practice locations: Bronx, NY

National Provider Directory

National Provider Directory
Tax ID family
Your Life Matters Counseling Services LCSW PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

509 E 165th St
Bronx, NY 10456
Phone (347) 939-5150

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": "1760400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760400000000",
    "number": "1851267124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 E 165TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104566637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 E 165TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104566637",
            "telephone_number": "732-523-4057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR LIFE MATTERS COUNSELING SERVICES LCSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-14",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A",
        "authorized_official_last_name": "FABIEN",
        "authorized_official_first_name": "JULSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-939-5150"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2025; 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.