Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Club Mental Health Counseling Services, PC

Organization Mental Health Counselor · NPI 1982912929

Club Mental Health Counseling Services, PC provides Mental Health Counselor services in Staten Island, New York. Licensed in New York. Registered with an NPI since 2010.

Licensed in
NY
In the registry since
2010
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

272 Ada Dr
Staten Island, NY 10314-1434 Not confirmed with CMS for 16 years — call before visiting
Phone: (718) 873-3189
Fax: (718) 982-8508
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 001024-1 (NY)

Record details

NPI number1982912929
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Leslie Martin — President · (718) 873-3189
NPI enumeratedSeptember 23, 2010
Last updated in NPPESSeptember 23, 2010
Mailing addressPo Box 140695, Staten Island, NY 10314-0695

Other providers in Staten Island