Provider Demographics
NPI:1770156366
Name:OPTIONS COUNSELING SERVICES
Entity type:Organization
Organization Name:OPTIONS COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:PETER
Authorized Official - Middle Name:
Authorized Official - Last Name:MANCINELLI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-806-4224
Mailing Address - Street 1:1607 ROUTE 300 STE 101
Mailing Address - Street 2:
Mailing Address - City:NEWBURGH
Mailing Address - State:NY
Mailing Address - Zip Code:12550-1738
Mailing Address - Country:US
Mailing Address - Phone:845-567-6027
Mailing Address - Fax:
Practice Address - Street 1:1607 ROUTE 300 STE 101
Practice Address - Street 2:
Practice Address - City:NEWBURGH
Practice Address - State:NY
Practice Address - Zip Code:12550-1738
Practice Address - Country:US
Practice Address - Phone:845-567-6027
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-21
Last Update Date:2021-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY139050OtherVALUEOPTIONS PROVIDER ID
MO207563000OtherMAGELLAN INS. PROVIDER ID
NY7481780OtherGHI INS. CO. PROVIDER ID