URBAN MENTAL HEALTH COUNSELING SERVICES PLLC
NPI 1003641606
Clinic/Center - Mental Health (Including Community Mental Health Center) in Jamestown, NY

Active since September 04, 2024
779 FAIRMOUNT AVE, JAMESTOWN, NY 14701(716) 205-0325 Get Directions Write a Review

NPPES record last updated: July 8, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 8, 2025, Nov 20, 2024, Sep 4, 2024 (3 updates tracked since 2024).

  • Organization
  • Clinic/Center
  • Mental Health (Including Community Menta...

About URBAN MENTAL HEALTH COUNSELING SERVICES PLLC

This page provides the complete NPI Profile along with additional information for Urban Mental Health Counseling Services Pllc, a provider established in Jamestown, New York operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1003641606 assigned on September 2024. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated one year ago. Urban Mental Health Counseling Services Pllc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Osaze Batholomew Ibhawa Lmhc (Mental Health Counselor)

NPI
1003641606 Verify this NPI
Provider Name
URBAN MENTAL HEALTH COUNSELING SERVICES PLLC
Entity Type
Organization
Location Address
779 FAIRMOUNT AVE JAMESTOWN, NY 14701
Location Phone
(716) 205-0325
Mailing Address
779 FAIRMOUNT AVE JAMESTOWN, NY 14701
Mailing Phone
(716) 205-0325
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-04-2024
Last Update Date
07-08-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Mental Health (Including Community Mental Health Center)

Taxonomy Code
261QM0801X
Type
Ambulatory Health Care Facilities

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101YM0800XBehavioral Health & Social Service Providers

Counselor
Mental Health

 
2101YP2500XBehavioral Health & Social Service Providers

Counselor
Professional

 
3251B00000XAgencies

Case Management

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

OSAZE BATHOLOMEW IBHAWA LMHC

Authorized Official Title
MENTAL HEALTH COUNSELOR
Authorized Official Phone
(716) 322-9088

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Other Providers at the Same Location


The following 8 providers are registered at the same or a nearby location.

Clinic/Center (Radiology)
779 FAIRMOUNT AVE
JAMESTOWN, NY 14701
Specialist
779 FAIRMOUNT AVE
JAMESTOWN, NY 14701
Optometrist
779 FAIRMOUNT AVE
JAMESTOWN, NY 14701
Radiology (Diagnostic Radiology)
779 FAIRMOUNT AVE, 4TH FLOOR, SUITE 401
JAMESTOWN, NY 14701
Counselor (Mental Health)
779 FAIRMOUNT AVE
JAMESTOWN, NY 14701
Social Worker (Clinical)
779 FAIRMOUNT AVE
JAMESTOWN, NY 14701
Nurse Practitioner (Psychiatric/Mental Health)
779 FAIRMOUNT AVE
JAMESTOWN, NY 14701
Nurse Practitioner (Psychiatric/Mental Health)
779 FAIRMOUNT AVE
JAMESTOWN, NY 14701

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003641606, enumerated as an "organization" on September 04, 2024.

The provider is located at 779 FAIRMOUNT AVE JAMESTOWN, NY 14701 and the phone number is (716) 205-0325.

Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).