Individual ProviderNatalie Rose CostaCounselorBehavioral Health & Social Service ProvidersPractice Address44 Monarch Ct, Staten Island, NY 10314-4953(917) 217-3102(718) 398-0153PECOS EnrollmentBased on the most recent information from CMS, provider Natalie Rose Costa does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 1:08 PM.Profile DetailsProvider ID1538439518Provider TypeIndividualFull NameCosta, Natalie RoseTitleMissCredentialMA, LMHCGenderFemaleSole ProprietorNoEnumeration Date1/6/2012Last Updated11/20/2019Contact InformationPractice LocationPractice Address44 Monarch Ct, Staten Island, NY 10314-4953Phone(917) 217-3102FaxUnlisted FaxMailing LocationMailing Address25 Chapel St, Suite 901, Brooklyn, NY 11201-1952Phone(718) 398-0153Fax(718) 623-2531Provider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicense005601-1New YorkCode101Y00000XDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCode101YA0400XDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer