1578342523 NPI number — CONVENIENT COUNSELING SERVICES

Table of content: JASMIT KAUR HEERA MD (NPI 1386311660)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1578342523 NPI number — CONVENIENT COUNSELING SERVICES

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CONVENIENT COUNSELING SERVICES
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1578342523
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/05/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
202 WALTON ST STE 203
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SYRACUSE
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
13202-1373
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
315-333-7773
Provider Business Mailing Address Fax Number:
315-333-7774

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
202 WALTON ST STE 203
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SYRACUSE
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
13202-1373
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
315-333-7773
Provider Business Practice Location Address Fax Number:
315-333-7774
Provider Enumeration Date:
09/27/2023

Additional Information

Authorized Official

Authorized Official Last Name:
MURRAY
Authorized Official First Name:
ALICIA
Authorized Official Middle Name:
LINDSEY
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
315-333-7773

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X , registered in the state of NULL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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