Integrated Counseling LCSW PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

081508 Issued in NY

Legal business name

INTEGRATED COUNSELING LCSW PLLC

Practice address

3265 Johnson Ave
Suite 204
Bronx, NY 10463-3539

Phone

(917) 573-1387

Fax

(718) 708-6179

NPI assigned

Jul 8, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Thomas E. Gonzalez, LCSW-R

Title

Psychotherapist

Phone

(917) 573-1387

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andres R Guerrero, LMSW

  • Clinical Social Worker
  • Bronx, NY
  • NPI 1417664061
  NPD

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

{
    "created_epoch": "1436313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736812800000",
    "number": "1922481969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3265 JOHNSON AVE",
            "address_2": "SUITE 204",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104633539",
            "telephone_number": "917-573-1387",
            "fax_number": "718-708-6179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3265 JOHNSON AVE",
            "address_2": "SUITE 204",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104633539",
            "telephone_number": "917-573-1387",
            "fax_number": "718-708-6179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED COUNSELING LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-08",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "917-573-1387",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW-R"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": "081508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Bronx, NY
• Community/Behavioral Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.