Organization Active NPI

Wellness Counseling PLC Inc

  • Mental Health Counselor
  • Forest Hills, NY
National Provider Identifier
1912427196
Registry record updated Aug 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
005177 Issued in NY
Legal business name
WELLNESS COUNSELING PLC INC
Practice address
10209 Metropolitan Ave FL 2
Forest Hills, NY 11375-6731
Phone
(917) 408-3981
NPI assigned
Jun 20, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2019

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

Authorized official

Name
Marissa Lee, LMHCNPI 1386951986
Title
Owner
Phone
(917) 408-3981

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 005177 NY Primary

Addresses

Primary practice location

10209 Metropolitan Ave FL 2
Forest Hills, NY 11375-6731

Mailing address

PO Box 754195
Forest Hills, NY 11375-9195

Other practice location 1

10923 71st Rd Ste 1H
Forest Hills, NY 11375-4809
Phone (917) 408-3981

National Provider Directory

National Provider Directory

Locations

10209 Metropolitan Ave
Fl 2
Forest Hills, NY 11375
Phone (347) 419-0889

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": "1497916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566518400000",
    "number": "1912427196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 754195",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113759195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10209 METROPOLITAN AVE FL 2",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113756731",
            "telephone_number": "917-408-3981"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10923 71st Rd Ste 1H",
            "address_purpose": "LOCATION",
            "city": "Forest Hills",
            "state": "NY",
            "postal_code": "113754809",
            "country_code": "US",
            "telephone_number": "917-408-3981",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WELLNESS COUNSELING PLC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-20",
        "last_updated": "2019-08-23",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "MARISSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-408-3981",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "005177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2019; 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.