Provider Demographics
NPI:1881978880
Name:COUNSELING SERVICES, LLC
Entity type:Organization
Organization Name:COUNSELING SERVICES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINSITRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MARILYN
Authorized Official - Middle Name:
Authorized Official - Last Name:GREEN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW-R
Authorized Official - Phone:845-473-2175
Mailing Address - Street 1:P.O. BOX 168
Mailing Address - Street 2:
Mailing Address - City:FELTON
Mailing Address - State:DE
Mailing Address - Zip Code:19943
Mailing Address - Country:US
Mailing Address - Phone:845-518-3178
Mailing Address - Fax:302-469-5420
Practice Address - Street 1:29 TRUSSUM DRIVE
Practice Address - Street 2:
Practice Address - City:MAGNOLIA
Practice Address - State:DE
Practice Address - Zip Code:19962
Practice Address - Country:US
Practice Address - Phone:845-578-3178
Practice Address - Fax:302-469-5420
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-09
Last Update Date:2023-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYRO46741-1101YA0400X, 251S00000X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01572870Medicaid
NY420848OtherMHN
NYNOMO81OtherMEDICARE NUMBER
NY126481OtherVALUE OPTIONS
NYP2564857OtherOXFORD
NY330597OtherWELLCARE
126431OtherVALUE OPTIONS
NY617995OtherMVP