SOUTH SHORE MENTAL HEALTH COUNSELING SERVICES,PC
NPI 1366890949
Counselor - Professional in East Islip, NY

Active since May 24, 2016
200 CARLETON AVE STE D, EAST ISLIP, NY 11730(631) 579-3503(631) 446-1136 Get Directions Write a Review

NPPES record last updated: April 25, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 25, 2021, Apr 12, 2021 (2 updates tracked since 2021).

About South Shore Mental Health Counseling Services,pc NPPES

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

SOUTH SHORE MENTAL HEALTH COUNSELING SERVICES,PC (NPI 1366890949) is a healthcare organization registered as a professional in East Islip, New York and active in the NPI registry since May 2016. The organization lists Kenneth J Roche, Director, as its authorized official.

NPPES Registry Identity

NPI1366890949
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameSOUTH SHORE MENTAL HEALTH COUNSELING SERVICES,PC
Location Address200 CARLETON AVE STE DEast Islip, NY 11730-1222
Mailing Address200 Carleton Ave Ste DEast Islip, NY 11730-1222 · (631) 579-3503 · Fax (631) 446-1136
Fax(631) 446-1136
Organization SubpartNo
Authorized OfficialKenneth J RocheDirector · (631) 235-4481
Enumeration DateMay 24, 2016
Last NPPES UpdateApril 25, 20212 updates tracked since enumeration
NPPES CertifiedApril 25, 2021
NPI 1366890949 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in NY · 004685
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
200 CARLETON AVE STE D, East Islip, NY 11730

Other Identifiers 1

Other1578862728Npi

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

Other Providers at the Same Location NPPES 6

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

Counselor (Mental Health)
200 CARLETON AVE STE D
EAST ISLIP, NY 11730
Counselor (Mental Health)
200 CARLETON AVE STE D
EAST ISLIP, NY 11730
Counselor (Mental Health)
200 CARLETON AVE STE D
EAST ISLIP, NY 11730
Counselor (Mental Health)
200 CARLETON AVE STE D
EAST ISLIP, NY 11730
Counselor (Mental Health)
200 CARLETON AVE STE D
EAST ISLIP, NY 11730
Counselor (Mental Health)
200 CARLETON AVE STE D
EAST ISLIP, NY 11730

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 South Shore Mental Health Counseling Services,pc's NPI number?

The NPI number for South Shore Mental Health Counseling Services,pc is 1366890949. It was assigned to this organization in the NPPES registry on May 24, 2016.

Where is South Shore Mental Health Counseling Services,pc located?

South Shore Mental Health Counseling Services,pc is located at 200 Carleton Ave Ste D, East Islip, NY 11730. The listed phone number is (631) 579-3503.

What is South Shore Mental Health Counseling Services,pc's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for South Shore Mental Health Counseling Services,pc was last updated on April 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.