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

North Shore Addiction and Mental Health Counseling Services, PLLC

Organization Mental Health Counselor · NPI 1184021503

North Shore Addiction and Mental Health Counseling Services, PLLC provides Mental Health Counselor services in Smithtown, New York. Licensed in New York. Registered with an NPI since 2014.

Licensed in
NY
In the registry since
2014
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

21 Redwood Ln
Smithtown, NY 11787-2718 Not confirmed with CMS for 11 years — call before visiting
Phone: (631) 780-5752
Fax: (631) 321-1005
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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 (NY)

Record details

NPI number1184021503
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Larsen-Krugman — Owner · (631) 780-5752
NPI enumeratedDecember 1, 2014
Last updated in NPPESDecember 1, 2014
Mailing address21 Redwood Ln, Smithtown, NY 11787-2718

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