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CLUB MENTAL HEALTH COUNSELING SERVICES, P.C.
NPI 1982912929
Counselor - Mental Health in Staten Island, NY

Active since September 23, 2010
272 ADA DR, STATEN ISLAND, NY 10314(718) 873-3189(718) 982-8508 Get Directions Write a Review

NPPES record last updated: September 23, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Club Mental Health Counseling Services, P.c. NPPES

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

CLUB MENTAL HEALTH COUNSELING SERVICES, P.C. (NPI 1982912929) is a healthcare organization registered as a mental health in Staten Island, New York and active in the NPI registry since September 2010. The organization lists Leslie B Martin, President, as its authorized official.

NPPES Registry Identity

NPI1982912929
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameCLUB MENTAL HEALTH COUNSELING SERVICES, P.C.
Location Address272 ADA DRStaten Island, NY 10314-1434
Mailing AddressPo Box 140695Staten Island, NY 10314-0695 · (781) 873-3189 · Fax (718) 982-8508
Phone(718) 873-3189
Fax(718) 982-8508
Organization SubpartNo
Authorized OfficialLeslie B MartinPresident · (718) 873-3189
Enumeration DateSeptember 23, 2010
✔ NPI 1982912929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NY · 001024-1
272 ADA DR, Staten Island, NY 10314
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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 MULTIPLE SINGLE SPECIALTY GROUP

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 Club Mental Health Counseling Services, P.C.'s NPI number?

The NPI number for Club Mental Health Counseling Services, P.C. is 1982912929. It was assigned to this organization in the NPPES registry on September 23, 2010.

Where is Club Mental Health Counseling Services, P.C. located?

Club Mental Health Counseling Services, P.C. is located at 272 Ada Dr, Staten Island, NY 10314. The listed phone number is (718) 873-3189.

What is Club Mental Health Counseling Services, P.C.'s specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Club Mental Health Counseling Services, P.C. was last updated on September 23, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.