Second Chance Counseling PLLC
NPI 1265190094 · Clinical Social Worker · Middletown, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Second Chance Counseling PLLC is a Clinical Social Worker organization in Middletown, NY (NPI 1265190094).
Provider details
- NPI number
- 1265190094
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Patricia De Jesus, Provider(845) 341-8008
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Registry dates
- Enumerated
- 2021-11-29
- Last updated
- 2022-01-07
- Certified
- 2022-01-07
Frequently asked questions
- What is Second Chance Counseling PLLC's NPI number?
- Second Chance Counseling PLLC's National Provider Identifier (NPI) is 1265190094, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Second Chance Counseling PLLC?
- Second Chance Counseling PLLC is classified in the NPPES registry as Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Second Chance Counseling PLLC located?
- Second Chance Counseling PLLC's practice location on file with NPPES is 480 Route 17m Fl 1, Middletown, NY 10940-4525.
- What is Second Chance Counseling PLLC's phone number?
- The practice phone number listed in the NPPES registry for Second Chance Counseling PLLC is (845) 341-8008.
- Does Second Chance Counseling PLLC accept Medicare?
- Second Chance Counseling PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Second Chance Counseling PLLC?
- The authorized official listed on Second Chance Counseling PLLC's NPPES record is Patricia De Jesus, Provider. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Second Chance Counseling PLLC's NPI active?
- Yes — Second Chance Counseling PLLC's NPI (1265190094) is active in the NPPES registry as of the last update on 2022-01-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.