Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Conscious Change Mental Health Counseling Services PLLC

Organization Mental Health Counselor · NPI 1093527111

Conscious Change Mental Health Counseling Services PLLC is a Mental Health Counselor in Staten Island, New York. Registered with an NPI since 2025.

In the registry since
2025
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

184 Gurley Ave
Staten Island, NY 10308-1505
Phone: (929) 260-1363
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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

Record details

NPI number1093527111
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jane Peck — Owner/Provider · (929) 260-1363
Other names Conscious Change Mental Health Counseling Services Pllc
NPI enumeratedJanuary 24, 2025
Last updated in NPPESJanuary 24, 2025
Certification dateJanuary 24, 2025
Mailing address184 Gurley Ave, Staten Island, NY 10308-1505

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