NPIMap

Organization Active NPI

Center for Learning and Growth Health and Wellness Services, LLC

  • Mental Health Counselor
  • Flushing, NY
National Provider Identifier
1972005833
Registry record updated Mar 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
008172 Issued in NY
Legal business name
CENTER FOR LEARNING AND GROWTH HEALTH AND WELLNESS SERVICES, LLC
Practice address
14101 68TH Dr FL 1
Flushing, NY 11367-1635
Phone
(718) 551-1868
NPI assigned
Mar 6, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2018

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

Authorized official

Name
Dr. Luis Brignolo, LMHCNPI 1710139274
Title
Counselor
Phone
(718) 551-1868

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X 008172 NY Primary
Massage TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225700000X 027228 NY

Addresses

Primary practice location

14101 68TH Dr FL 1
Flushing, NY 11367-1635

Mailing address

14101 68TH Dr FL 1
Flushing, NY 11367-1635
Phone (718) 551-1868

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1520294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520294400000",
    "number": "1972005833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14101 68TH DR FL 1",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113671635",
            "telephone_number": "718-551-1868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14101 68TH DR FL 1",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113671635",
            "telephone_number": "718-551-1868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR LEARNING AND GROWTH HEALTH AND WELLNESS SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-06",
        "last_updated": "2018-03-06",
        "status": "A",
        "authorized_official_last_name": "BRIGNOLO",
        "authorized_official_first_name": "LUIS",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "718-551-1868",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "008172",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "027228",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2018; 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.