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INTEGRATED PSYCHOTHERAPY COUNSELING LCSW, PLLC
NPI 1003609827
Clinic/Center - Adult Mental Health in Port Jefferson, NY

Active since May 24, 2025
100 MARINERS WAY, PORT JEFFERSON, NY 11777(934) 246-6042 Get Directions Write a Review

NPPES record last updated: November 5, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 5, 2025, May 24, 2025 (2 updates tracked since 2025).

About Integrated Psychotherapy Counseling Lcsw, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INTEGRATED PSYCHOTHERAPY COUNSELING LCSW, PLLC (NPI 1003609827), doing business as Root & Rise Clinical Specialists, is a healthcare organization registered as an adult mental health in Port Jefferson, New York and active in the NPI registry since May 2025. The organization maintains 2 additional practice locations and lists Julie Stark, Clinician & Partner, as its authorized official.

NPPES Registry Identity

NPI1003609827
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameINTEGRATED PSYCHOTHERAPY COUNSELING LCSW, PLLC
Location Address100 MARINERS WAYPort Jefferson, NY 11777-1848
Mailing Address100 Mariners WayPort Jefferson, NY 11777-1848 · (934) 246-6042 · Fax (631) 201-7390
Phone(934) 246-6042
Organization SubpartNo
Authorized OfficialJulie StarkClinician & Partner · (934) 246-6042
Enumeration DateMay 24, 2025
Last NPPES UpdateNovember 5, 20252 updates tracked since enumeration
NPPES CertifiedNovember 5, 2025
✔ NPI 1003609827 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

100 MARINERS WAY, Port Jefferson, NY 11777
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Other Names 1

Doing Business AsRoot & Rise Clinical Specialists

Secondary Practice Locations 2

Location 1646 Main St Ste 102Port Jefferson, NY 11777-2230 · Phone (934) 246-6042
Location 25301 N Federal Hwy Ste 380Boca Raton, FL 33487-4916 · Phone (934) 246-6042

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TSL MASSAGE THERAPY PC
Health and Wellness Coach
100 MARINERS WAY
PORT JEFFERSON, NY 11777
Suffolk County (631) 991-0052
MINDFUL MED MANAGEMENT INC
Nurse Practitioner (Psychiatric/Mental Health)
100 MARINERS WAY
PORT JEFFERSON, NY 11777
Suffolk County (631) 991-0052
MELISSA A CASCINO
Social Worker (Clinical)
100 MARINERS WAY
PORT JEFFERSON, NY 11777
Suffolk County (516) 909-2421
SUZANNE D'ADDONA LMSW
Social Worker
100 MARINERS WAY
PORT JEFFERSON, NY 11777
Suffolk County (631) 774-3857

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Integrated Psychotherapy Counseling Lcsw, PLLC's NPI number?

The NPI number for Integrated Psychotherapy Counseling Lcsw, PLLC is 1003609827. It was assigned to this organization in the NPPES registry on May 24, 2025. The provider is doing business as Root & Rise Clinical Specialists.

Where is Integrated Psychotherapy Counseling Lcsw, PLLC located?

Integrated Psychotherapy Counseling Lcsw, PLLC is located at 100 Mariners Way, Port Jefferson, NY 11777. The listed phone number is (934) 246-6042.

What is Integrated Psychotherapy Counseling Lcsw, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

When was this NPI record last updated?

The NPPES record for Integrated Psychotherapy Counseling Lcsw, PLLC was last updated on November 5, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.