NPIMap

Organization Active NPI

Creating Connections Together, LCSW, PLLC

Doing business as Sunrise Counseling Services

  • Clinical Social Worker
  • Albany, NY
National Provider Identifier
1871288274
Registry record updated Jun 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
CREATING CONNECTIONS TOGETHER, LCSW, PLLC
Doing business as
Sunrise Counseling Services
Practice address
100 Great Oaks Blvd Ste 117a
Albany, NY 12203-7925
Phone
(914) 475-1405
Fax
(518) 438-0382
NPI assigned
Apr 10, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2024

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

Authorized official

Name
Joann Mazzocchi-Fleitz, LCSW-RNPI 1851540991
Title
Owner
Phone
(914) 475-1405

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

100 Great Oaks Blvd Ste 117a
Albany, NY 12203-7925

Mailing address

100 Great Oaks Blvd Ste 117a
Albany, NY 12203-7925
Phone (914) 475-1405

Other names 1

  • Sunrise Counseling Services Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240316000123 NY Part B Supplier - Clinic/Group Practice 3971949652 Receives reassigned benefits from 2 practitioners
Practice locations: Albany, NY

National Provider Directory

National Provider Directory
Tax ID family
Creating Connections Together LCSW PLLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

100 Great Oaks Blvd
Ste 101
Albany, NY 12203
Phone (518) 250-4706

Practitioners & affiliated clinicians

Practitioners 2

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": "1681084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718323200000",
    "number": "1871288274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 GREAT OAKS BLVD STE 117A",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122037925",
            "telephone_number": "914-475-1405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 GREAT OAKS BLVD STE 117A",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122037925",
            "telephone_number": "914-475-1405",
            "fax_number": "518-438-0382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATING CONNECTIONS TOGETHER, LCSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-10",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A",
        "authorized_official_last_name": "MAZZOCCHI-FLEITZ",
        "authorized_official_first_name": "JOANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-475-1405",
        "authorized_official_credential": "LCSW-R"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunrise Counseling Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Albany, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2024; 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.