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

Integrated Psychotherapy Counseling LCSW, PLLC

Organization Adult Mental Health Clinic/Center · NPI 1003609827

Integrated Psychotherapy Counseling LCSW, PLLC is an Adult Mental Health Clinic/Center in Port Jefferson, New York. Works from 3 locations. 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.

See every abbreviation used in this directory →

Practice location Address checks out

100 Mariners Way
Port Jefferson, NY 11777-1848
Phone: (934) 246-6042
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 5301 N Federal Hwy Ste 380, Boca Raton, FL 33487-4916 — (934) 246-6042
  • 646 Main St Ste 102, Port Jefferson, NY 11777-2230 — (934) 246-6042

Specialties & licences

Adult Mental Health Clinic/Center (primary) Taxonomy 261QM0850X

Record details

NPI number1003609827
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Julie Stark — Clinician & Partner · (934) 246-6042
Other names Root & Rise Clinical Specialists
NPI enumeratedMay 24, 2025
Last updated in NPPESNovember 5, 2025
Certification dateNovember 5, 2025
Mailing address100 Mariners Way, Port Jefferson, NY 11777-1848