Integrated Psychotherapy Counseling Lcsw, PLLC
NPI 1003609827 · Adult Mental Health Clinic/Center · Port Jefferson, NY
Integrated Psychotherapy Counseling Lcsw, PLLC is a Adult Mental Health Clinic/Center organization in Port Jefferson, NY (NPI 1003609827).
Provider details
- NPI number
- 1003609827
- Entity type
- Organization
- Primary specialty
- Adult Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Julie Stark, Clinician & Partner(934) 246-6042
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Root & Rise Clinical Specialists
Additional practice locations (2)
- 5301 N Federal Hwy Ste 380Boca Raton, FL 33487-4916Phone: (934) 246-6042
- 646 Main St Ste 102Port Jefferson, NY 11777-2230Phone: (934) 246-6042
Registry dates
- Enumerated
- 2025-05-24
- Last updated
- 2025-11-05
- Certified
- 2025-11-05
Frequently asked questions
- What is Integrated Psychotherapy Counseling Lcsw, PLLC's NPI number?
- Integrated Psychotherapy Counseling Lcsw, PLLC's National Provider Identifier (NPI) is 1003609827, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Integrated Psychotherapy Counseling Lcsw, PLLC?
- Integrated Psychotherapy Counseling Lcsw, PLLC is classified in the NPPES registry as Adult Mental Health Clinic/Center (Ambulatory Health Care Facilities).
- Where is Integrated Psychotherapy Counseling Lcsw, PLLC located?
- Integrated Psychotherapy Counseling Lcsw, PLLC's practice location on file with NPPES is 100 Mariners Way, Port Jefferson, NY 11777-1848.
- What is Integrated Psychotherapy Counseling Lcsw, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Integrated Psychotherapy Counseling Lcsw, PLLC is (934) 246-6042.
- Who is the authorized official for Integrated Psychotherapy Counseling Lcsw, PLLC?
- The authorized official listed on Integrated Psychotherapy Counseling Lcsw, PLLC's NPPES record is Julie Stark, Clinician & Partner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Integrated Psychotherapy Counseling Lcsw, PLLC's NPI active?
- Yes — Integrated Psychotherapy Counseling Lcsw, PLLC's NPI (1003609827) is active in the NPPES registry as of the last update on 2025-11-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.