Safe House Trauma Recovery Services, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

SAFE HOUSE TRAUMA RECOVERY SERVICES, LLC

Doing business as

Safe House Counseling

Practice address

804 Jefferson Ave Apt 4D
Brooklyn, NY 11221-6595

Phone

(917) 960-2593

NPI assigned

Jan 13, 2022

Last updated

Jan 13, 2022By 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

Itunuoluwa Ifeoluwa Kehinde, LMHC

Title

Ceo/Founder

Phone

(917) 960-2593

Specialties & licenses 3

Addresses

Other names 1

• Safe House Counseling Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1642032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642032000000",
    "number": "1902557754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 JEFFERSON AVE APT 4D",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112216595",
            "telephone_number": "615-823-0256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 JEFFERSON AVE APT 4D",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112216595",
            "telephone_number": "917-960-2593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFE HOUSE TRAUMA RECOVERY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-13",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-10",
        "status": "A",
        "authorized_official_last_name": "KEHINDE",
        "authorized_official_first_name": "ITUNUOLUWA",
        "authorized_official_middle_name": "IFEOLUWA",
        "authorized_official_title_or_position": "CEO/FOUNDER",
        "authorized_official_telephone_number": "917-960-2593",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "REST",
            "endpointTypeDescription": "RESTful URL",
            "endpoint": "iikcounseling@gmail.com",
            "affiliation": "N",
            "address_1": "804 Jefferson Ave Apt 4D",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112216595",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Safe House Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mental Health Counselor in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2022; 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.