CRESPO MENTAL HEALTH COUNSELING SERVICE PLLC (NPI# 1396376174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396376174 |
| Entity Type | Organization |
| Organization Name | CRESPO MENTAL HEALTH COUNSELING SERVICE PLLC |
| Practice Address |
4012 31st Ave Ste 1 Astoria NY 11103-3459 |
| Practice Telephone | 7187667160 |
| Practice Fax Number | 8014942245 |
| Mailing Telephone | 6462516446 |
| Mailing Fax Number | 8014942245 |
| Enumeration Date | 2020-01-30 |
| Last Update Date | 2020-01-30 |
| Authorized Official Name | RAQUEL CRESPO (PROVIDER/OWNER) |
| Authorized Official Telephone | 7187667160 |
| Authorized Official Credential | LMHC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
4012 31ST AVE STE 1 |
| City | ASTORIA |
| State | NY |
| Zip Code | 11103-3459 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285248641 | Heather B Keltai | Counselor | 2585 48th St, Astoria, NY 11103 | 2020-09-03 |
| 1174132641 | Mohammed E Yousef | Physical Therapy Assistant | 37 09 Broadway,astoria., Apt 3a, New York, NY 11103 | 2020-07-30 |
| 1588177448 | Jasna Koltovska | Counselor | 3063 38th St Ste B1, Astoria, NY 11103 | 2017-11-14 |
| 1205363884 | Emanuel Papadopoulos | Dentist | 3044 36th St, Astoria, NY 11103 | 2017-05-15 |
| 1174986236 | Joyce Lynn Karpinski | Occupational Therapist | 25-95 45th St, Apt I, Astoria, NY 11103 | 2016-04-05 |
| 1306218847 | Leeat Perelmutter | Social Worker | 2847 34 Street, Apt 17, Astoria, NY 11103 | 2015-10-23 |
| 1740658723 | Cori Shahon | Specialist | 2569 49th Street, Astoria, NY 11103 | 2015-09-09 |
| 1245617539 | Alisa Neziraj | Registered Nurse | 3005 42nd Street, Astoria, NY 11103 | 2015-05-06 |
| 1912399189 | Brad Koegel | Case Manager/Care Coordinator | 30-46 35th Street, Astoria, NY 11103 | 2015-02-25 |
| 1477967826 | Wad Kadi | Pharmacist | 32-87 Steinway St, Long Island City, NY 11103 | 2014-06-13 |
| Find all providers in zip 11103 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285248641 | Heather B Keltai | Counselor | 2585 48th St, Astoria, NY 11103 | 2020-09-03 |
| 1801412390 | Kimberly Alberta Martin | Counselor | 2368 Crescent St Fl 1, Astoria, NY 11105-3108 | 2020-06-19 |
| 1295361483 | Stephen Kendall | Counselor | 2038 29th St Apt 2, Astoria, NY 11105-2578 | 2020-03-19 |
| 1972142156 | Full Scope Mental Health Counseling Pllc | Counselor | 3109 Newtown Ave Ste 409, Astoria, NY 11102-1373 | 2020-01-05 |
| 1184276354 | Elliott Dalton Skaggs | Counselor | 2654 30th St Apt 1r, Astoria, NY 11102-2151 | 2019-07-09 |
| 1639640345 | Bridget Mackin | Counselor | 2263 41st Street, Apt 1f, Astoria, NY 11105 | 2018-12-07 |
| 1023502721 | Evangelos Anastasios Samaras | Counselor | 2246 31st St Rear House, Astoria, NY 11105-2786 | 2018-06-18 |
| 1184112708 | Amy Glasgow | Counselor | 4503 Broadway Apt 2l, Astoria, NY 11103-1625 | 2018-04-30 |
| 1578050092 | Charles B Chambers | Counselor | 1139 Exchange St, Astoria, OR 97103-4129 | 2018-04-19 |
| 1154825859 | Camile Marion Holland | Counselor | 1004 Marine Dr Ste E, Astoria, OR 97103-4239 | 2018-03-19 |
| Find all providers in ASTORIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.