OrganizationActive
Club Mental Health Counseling Services, P.C.
NPI 1982912929 · Mental Health Counselor · Staten Island, NY
Provider details
- NPI number
- 1982912929
- Entity type
- Organization
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Leslie Martin, President(718) 873-3189
- License
- 001024-1 (NY)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
272 Ada Dr
Staten Island, NY 10314-1434
Phone: (718) 873-3189
Fax: (718) 982-8508
Street-level locationGet directions
Mailing address
Po Box 140695
Staten Island, NY 10314-0695
Registry dates
- Enumerated
- 2010-09-23
- Last updated
- 2010-09-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.