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: October 25, 2026.

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

About Urban Mental Health Counseling Services Pllc NPPES

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

URBAN MENTAL HEALTH COUNSELING SERVICES PLLC (NPI 1003641606) is a healthcare organization registered as a mental health (including community mental health center) in Jamestown, New York and active in the NPI registry since September 2024. The organization lists Osaze Batholomew Ibhawa, Mental Health Counselor, as its authorized official.

NPPES Registry Identity

NPI1003641606
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameURBAN MENTAL HEALTH COUNSELING SERVICES PLLC
Location Address779 FAIRMOUNT AVEJamestown, NY 14701-2608
Mailing Address779 Fairmount AveJamestown, NY 14701-2608 · (716) 205-0325
Organization SubpartNo
Authorized OfficialOsaze Batholomew IbhawaMental Health Counselor · (716) 322-9088
Enumeration DateSeptember 4, 2024
Last NPPES UpdateJuly 8, 20253 updates tracked since enumeration
NPPES CertifiedJuly 8, 2025
✔ NPI 1003641606 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
Also ListedCase ManagementTaxonomy 251B00000X
779 FAIRMOUNT AVE, Jamestown, NY 14701

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Urban Mental Health Counseling Services Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Urban Mental Health Counseling Services PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Mental Health Counselor
NPI 1710712120
779 FAIRMOUNT AVE
Jamestown, NY 14701
(347) 781-4214
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1396402277
779 FAIRMOUNT AVE
Jamestown, NY 14701
(716) 205-0325
✔ PECOSSame address
Mental Health Counselor
NPI 1255195145
485 SUNSET DR
Hamburg, NY 14075
(716) 244-8943
✔ PECOS50 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Urban Mental Health Counseling Services PLLC's NPI number?

The NPI number for Urban Mental Health Counseling Services PLLC is 1003641606. It was assigned to this organization in the NPPES registry on September 4, 2024.

Where is Urban Mental Health Counseling Services PLLC located?

Urban Mental Health Counseling Services PLLC is located at 779 Fairmount Ave, Jamestown, NY 14701. The listed phone number is (716) 205-0325.

What is Urban Mental Health Counseling Services PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Is Urban Mental Health Counseling Services PLLC enrolled in Medicare?

Yes. Urban Mental Health Counseling Services PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Urban Mental Health Counseling Services PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Urban Mental Health Counseling Services PLLC, in Mental Health Counselor and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Urban Mental Health Counseling Services PLLC was last updated on July 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.