Organization Active NPI

Two Mountains Therapy LCSW PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Astoria, NY
National Provider Identifier
1912897885
Registry record updated Jul 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
TWO MOUNTAINS THERAPY LCSW PLLC
Practice address
3210 30TH Ave # 2L
Astoria, NY 11102-1562
Phone
(929) 244-3779
NPI assigned
Jul 3, 2025
Last updated
Jul 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2025

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

Authorized official

Name
Kel MaisenbacherNPI 1285004374
Title
LCSW
Phone
(929) 244-3779

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 Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

3210 30TH Ave # 2L
Astoria, NY 11102-1562

Mailing address

3210 30TH Ave # 2L
Astoria, NY 11102-1562
Phone (929) 244-3779

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1751500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751500800000",
    "number": "1912897885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3210 30TH AVE # 2L",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111021562",
            "telephone_number": "929-244-3779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3210 30TH AVE # 2L",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111021562",
            "telephone_number": "929-244-3779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWO MOUNTAINS THERAPY LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-03",
        "last_updated": "2025-07-03",
        "certification_date": "2025-07-03",
        "status": "A",
        "authorized_official_last_name": "MAISENBACHER",
        "authorized_official_first_name": "KEL",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "929-244-3779"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2025; 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.