PROFESSIONAL COUNSELING SERVICES, INC
NPI 1972013084
Clinic/Center - Rehabilitation, Substance Use Disorder in Camillus, NY

Active since October 03, 2017
5700 W GENESEE ST STE 118, CAMILLUS, NY 13031(315) 488-1641 Get Directions Write a Review

NPPES record last updated: April 19, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Professional Counseling Services, Inc NPPES

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

PROFESSIONAL COUNSELING SERVICES, INC (NPI 1972013084) is a healthcare organization registered as a rehabilitation, substance use disorder in Camillus, New York and active in the NPI registry since October 2017. The organization lists Kristin W Botwinick, Ceo/president, as its authorized official.

NPPES Registry Identity

NPI1972013084
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NamePROFESSIONAL COUNSELING SERVICES, INC
Location Address5700 W GENESEE ST STE 118Camillus, NY 13031-3217
Mailing Address5700 W Genesee St Ste 118Camillus, NY 13031-3218 · (315) 488-1641
Organization SubpartNo
Authorized OfficialKristin W BotwinickCeo/president · (315) 466-6573
Enumeration DateOctober 3, 2017
Last NPPES UpdateApril 19, 2024
NPPES CertifiedApril 19, 2024
✔ NPI 1972013084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
5700 W GENESEE ST STE 118, Camillus, NY 13031

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Professional Counseling Services, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Professional Counseling Services, Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Social Worker
NPI 1346240553
3810 SPLIT ROCK RD
Camillus, NY 13031
(315) 466-6573
✔ PECOS2.7 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 Professional Counseling Services, Inc's NPI number?

The NPI number for Professional Counseling Services, Inc is 1972013084. It was assigned to this organization in the NPPES registry on October 3, 2017.

Where is Professional Counseling Services, Inc located?

Professional Counseling Services, Inc is located at 5700 W Genesee St Ste 118, Camillus, NY 13031. The listed phone number is (315) 488-1641.

What is Professional Counseling Services, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

Is Professional Counseling Services, Inc enrolled in Medicare?

Yes. Professional Counseling Services, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Professional Counseling Services, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Professional Counseling 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Professional Counseling Services, Inc was last updated on April 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.