NPIMap

Organization Active NPI

New York Counseling for Change, LCSW, PLLC

  • Community/Behavioral Health Agency
  • Jackson Heights, NY
National Provider Identifier
1891084794
Registry record updated Mar 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
120211753 Issued in NY
Legal business name
NEW YORK COUNSELING FOR CHANGE, LCSW, PLLC
Practice address
3720 74TH St
3Rd Floor
Jackson Heights, NY 11372-6338
Phone
(718) 424-6191
Fax
(718) 424-6192
NPI assigned
Mar 31, 2011
Last updated
Mar 31, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2011

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

Authorized official

Name
Larry MenzieNPI 1972744423
Title
Owner
Phone
(917) 494-3281

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 120211753 NY Primary

Addresses

Primary practice location

3720 74TH St
3Rd Floor
Jackson Heights, NY 11372-6338

Mailing address

3720 74TH St
3Rd Floor
Jackson Heights, NY 11372-6338
Phone (718) 424-6191

National Provider Directory

National Provider Directory

Locations

3720 74th St
Fl 3
Jackson Heights, NY 11372
Phone (718) 424-6191

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1301529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301529600000",
    "number": "1891084794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3720 74TH ST",
            "address_2": "3RD FLOOR",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113726338",
            "telephone_number": "718-424-6191",
            "fax_number": "718-424-6192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3720 74TH ST",
            "address_2": "3RD FLOOR",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113726338",
            "telephone_number": "718-424-6191",
            "fax_number": "718-424-6192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW YORK COUNSELING FOR CHANGE, LCSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-31",
        "last_updated": "2011-03-31",
        "status": "A",
        "authorized_official_last_name": "MENZIE",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-494-3281"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": "120211753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2011; 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.