Individual provider Active NPI

Tristen E Turkow, LCSW

  • Mental Health Counselor
  • Cortland, NY
National Provider Identifier
1003400169
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
103594 Issued in NY
Practice address
165 Main St. Ste a
Cortland, NY 13045-3049
Phone
(607) 753-0234
NPI assigned
Mar 1, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 103594 NY Primary

Addresses

Primary practice location

165 Main St. Ste a
Cortland, NY 13045-3049

Mailing address

165 Main St Ste a
Cortland, NY 13045-3191
Phone (607) 753-0234

Other names 1

  • Tristen E Buckley Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
State University of New York at Buffalo School of Medicine, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1 Burgett Dr
Homer, NY 13077-1017

165 Main St
Suite a
Cortland, NY 13045-3049

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
118160NYMDCounselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1614556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783987200000",
    "number": "1003400169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 MAIN ST STE A",
            "city": "CORTLAND",
            "state": "NY",
            "postal_code": "130453191",
            "telephone_number": "607-753-0234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 MAIN ST. STE A",
            "city": "CORTLAND",
            "state": "NY",
            "postal_code": "130453049",
            "telephone_number": "607-753-0234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TURKOW",
        "first_name": "TRISTEN",
        "middle_name": "E",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-01",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "103594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRISTEN",
            "last_name": "BUCKLEY",
            "middle_name": "E",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cortland, NY

Sources for this page

Verify at the official NPI Registry.