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SILVER LAKE SUPPORT SERVICES, INC
NPI 1336363530
Counselor - Addiction (Substance Use Disorder) in Staten Island, NY

Active since April 12, 2007
201 FOREST AVE, STATEN ISLAND, NY 10301(718) 815-3155(718) 815-3151 Get Directions Write a Review

NPPES record last updated: June 17, 2010. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Silver Lake Support Services, Inc NPPES

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

SILVER LAKE SUPPORT SERVICES, INC (NPI 1336363530) is a healthcare organization registered as an addiction (substance use disorder) in Staten Island, New York and active in the NPI registry since April 2007. The organization lists Avraham Schick, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1336363530
Entity TypeOrganization
Primary Taxonomy101YA0400X
Legal Business NameSILVER LAKE SUPPORT SERVICES, INC
Location Address201 FOREST AVEStaten Island, NY 10301-2763
Mailing Address201 Forest AveStaten Island, NY 10301-2763 · (718) 815-3155 · Fax (715) 815-3151
Phone(718) 815-3155
Fax(718) 815-3151
Organization SubpartNo
Authorized OfficialAvraham SchickExecutive Director · (718) 720-9600
Enumeration DateApril 12, 2007
Last NPPES UpdateJune 17, 2010
✔ NPI 1336363530 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in NY · 061110987
201 FOREST AVE, Staten Island, NY 10301
Open in Google Maps ↗

Other Identifiers 1

Medicaid02097574NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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)

Silver Lake Support Services, Inc 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 Silver Lake Support Services, Inc, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Jessica Borowski
Mental Health Counselor
NPI 1205709623
201 FOREST AVE
Staten Island, NY 10301
(718) 815-3155
✔ PECOS✔ Accepts MedicareSame address
Dana Davino, PHD, LMHC, CASAC
Mental Health Counselor
NPI 1275981045
201 FOREST AVE
Staten Island, NY 10301
(917) 572-3296
✔ PECOSSame address
Lauren Florio, LMHC
Mental Health Counselor
NPI 1457240988
201 FOREST AVE
Staten Island, NY 10301
(718) 815-3155
✔ PECOS✔ Accepts MedicareSame address

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 Silver Lake Support Services, Inc's NPI number?

The NPI number for Silver Lake Support Services, Inc is 1336363530. It was assigned to this organization in the NPPES registry on April 12, 2007.

Where is Silver Lake Support Services, Inc located?

Silver Lake Support Services, Inc is located at 201 Forest Ave, Staten Island, NY 10301. The listed phone number is (718) 815-3155.

What is Silver Lake Support Services, Inc's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Silver Lake Support Services, Inc enrolled in Medicare?

Yes. Silver Lake Support Services, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Silver Lake Support Services, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Mental Health Counselor, reassign their Medicare billing to Silver Lake Support Services, Inc. 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, 3 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 Silver Lake Support Services, Inc was last updated on June 17, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years 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.