Individual ProviderJoan UpoleCounselorBehavioral Health & Social Service ProvidersPractice Address900 South Ave Ste 300, Staten Island, NY 10314-3428(718) 577-2272PECOS EnrollmentBased on the most recent information from CMS, provider Joan Upole 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 ID1881132934Provider TypeIndividualFull NameUpole, JoanTitleMs.CredentialLMHCGenderFemaleSole ProprietorNoEnumeration Date2/9/2017Last Updated6/19/2019Contact InformationPractice LocationPractice Address900 South Ave Ste 300, Staten Island, NY 10314-3428Phone(718) 577-2272Fax(347) 824-2242Mailing LocationMailing Address900 South Ave Ste 300, Staten Island, NY 10314-3428Phone(718) 577-2272Fax(347) 824-2242Provider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicense003910-1New York