Poorva Talapatra, M.ED., LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

178005097 Issued in IL

Practice address

400 S Lewis LN
Carbondale, IL 62901-3547

Phone

(618) 519-9900

Fax

(618) 529-1384

NPI assigned

Dec 13, 2010

Last updated

Aug 25, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

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.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Ahuja Bariatric and BeyondGroup PAC ID 6901289347, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Education

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: poorva.talapatra.1@14668.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ahuja Bariatric & Beyond

  • Surgery Physician
  • Mount Vernon, IL
  • NPI 1053043885
  Medicare reassignment Care Compare group NPD
• Shawnee Health Service and Development Corp

  • Federally Qualified Health Center (FQHC)
  • Carterville, IL
  • NPI 1639295314
  Medicare reassignment NPD
• Shawnee Health Service and Development Corp

  dba Shawnee Health Pharmacy Carbondale

  • Community/Retail Pharmacy
  • Carbondale, IL
  • NPI 1760253447
  NPD
• Shawnee Health Service and Development Corp

  dba Carbondale Middle School Health Center

  • Federally Qualified Health Center (FQHC)
  • Carbondale, IL
  • NPI 1841757242

  Mental Health

  NPD
• Shawnee Health Service and Development Corp

  dba Shawnee Health Care, Carbondale

  • Federally Qualified Health Center (FQHC)
  • Carbondale, IL
  • NPI 1073745345

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1292198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440460800000",
    "number": "1013210194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 577",
            "address_2": "109 CALIFORNIA ST",
            "city": "CARTERVILLE",
            "state": "IL",
            "postal_code": "629180577",
            "telephone_number": "618-985-8221",
            "fax_number": "618-985-4635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S LEWIS LN",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629013547",
            "telephone_number": "618-519-9900",
            "fax_number": "618-529-1384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALAPATRA",
        "first_name": "POORVA",
        "credential": "M.ED., LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-13",
        "last_updated": "2015-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178005097",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "370966854024",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sohaib Hasan Syed, MD
• Synapse Collaborative LLC (Synapse Collaborative)
• Synapse Mental Health PLLC (Synapse Collaborative)
• Synergy Therapeutic Group
• Erin Szynkowski, MS,LCPC
• Terri Tate, BA
• Emoni Tatum, MSW, LSW
• Melba Margaret Taylor, M.D.
• Victoria Faith Taylor, LSW
• Salem Najeh Thabet, MD

• Mental Health Counselor in Carbondale, IL
• Providers in Carbondale, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.