Organization Active NPI

Office of Virginie Petrus Mental Health Counselor PLLC

  • Mental Health Counselor
  • New York, NY
National Provider Identifier
1902645633
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
OFFICE OF VIRGINIE PETRUS MENTAL HEALTH COUNSELOR PLLC
Practice address
260 Madison Ave FL 8
New York, NY 10016-2418
Phone
(646) 481-1374
NPI assigned
May 22, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2024

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

Authorized official

Name
Petrus Virginie, LMHC
Title
Owner
Phone
(862) 250-2955

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

260 Madison Ave FL 8
New York, NY 10016-2418

Mailing address

110 Iron Pier Dr Apt 336
Syracuse, NY 13204-1196
Phone (862) 250-2955

Other practice location 1

2319 Tiemann Ave
Bronx, NY 10469-6327
Phone (862) 250-2955

Other practice location 2

1 Stone Pl Ste 305
Bronxville, NY 10708-3427
Phone (862) 250-2955

National Provider Directory

National Provider Directory

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": "1716336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716336000000",
    "number": "1902645633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 IRON PIER DR APT 336",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132041196",
            "telephone_number": "862-250-2955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 MADISON AVE FL 8",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100162418",
            "telephone_number": "646-481-1374"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2319 Tiemann Ave",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104696327",
            "country_code": "US",
            "telephone_number": "862-250-2955",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Stone Pl Ste 305",
            "address_purpose": "LOCATION",
            "city": "Bronxville",
            "state": "NY",
            "postal_code": "107083427",
            "country_code": "US",
            "telephone_number": "862-250-2955",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OFFICE OF VIRGINIE PETRUS MENTAL HEALTH COUNSELOR PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-22",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A",
        "authorized_official_last_name": "VIRGINIE",
        "authorized_official_first_name": "PETRUS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "862-250-2955",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; 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.