Active NPI
Phoenix Within Mental Health Counseling LLC
- Mental Health Counselor
- Huntington, NY
National Provider Identifier
1962103523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- PHOENIX WITHIN MENTAL HEALTH COUNSELING LLC
- Practice address
- 775 Park Ave Ste 255
Huntington, NY 11743-7538 - Phone
- (917) 699-8794
- NPI assigned
- Mar 10, 2023
- Last updated
- Feb 8, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Gabrielle Marie Ricca-Caldon, LMHC
- Title
- Owner/Provider
- Phone
- (917) 581-2834
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
775 Park Ave Ste 255
Huntington, NY 11743-7538
Mailing address
775 Park Ave Ste 380
Huntington, NY 11743-7573
Phone (917) 699-8794
National Provider Directory
National Provider DirectoryLocations
775 Park Ave
Ste 380
Huntington, NY 11743
Phone (516) 914-6043
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.
-
- Mental Health Counselor
- Huntington, NY
- NPI 1124558499
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678406400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1707350400000",
"number": "1962103523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "775 PARK AVE STE 380",
"city": "HUNTINGTON",
"state": "NY",
"postal_code": "117437573",
"telephone_number": "917-699-8794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "775 PARK AVE STE 255",
"city": "HUNTINGTON",
"state": "NY",
"postal_code": "117437538",
"telephone_number": "917-699-8794"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHOENIX WITHIN MENTAL HEALTH COUNSELING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-10",
"last_updated": "2024-02-08",
"certification_date": "2024-02-08",
"status": "A",
"authorized_official_last_name": "RICCA-CALDON",
"authorized_official_first_name": "GABRIELLE",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "OWNER/PROVIDER",
"authorized_official_telephone_number": "917-581-2834",
"authorized_official_name_prefix": "Ms.",
"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 Huntington, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.