# NORTH SHORE ADDICTION AND MENTAL HEALTH COUNSELING SERVICES, PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184021503
- **Authorized official:** KIMBERLY LARSEN-KRUGMAN LMHC, CASAC (OWNER)
- **Authorized official phone:** (631) 780-5752

## Contact information

- **Practice address:** 21 REDWOOD LN, SMITHTOWN, NY 11787-2718
- **Practice address phone:** (631) 780-5752
- **Practice address fax:** (631) 321-1005
- **Mailing address:** 21 REDWOOD LN, SMITHTOWN, NY 11787-2718
- **Mailing address fax:** (631) 321-1005

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NY | Yes |

## Other

- **Enumeration date:** 12/01/2014
- **Last updated:** 12/01/2014