MEDICARE: CHILD CARE COUNCIL, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1033812383
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHILD CARE COUNCIL, INC.

Provider Business Mailing Address
First Line	:	595 BLOSSOM RD STE 120
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14610-1825
Country	:	US
Telephone Number	:	585-654-4720
Fax Number	:

Provider Business Practice Location Address
First Line	:	595 BLOSSOM RD STE 120
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14610-1825
Country	:	US
Telephone Number	:	585-654-4720
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	JEFF PIER
Credential	:
Telephone Number	:	585-654-4727

Provider Enumeration Date	:	03/24/2023
Last Update Date	:	01/23/2026

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