Individual provider Active NPI

Sara Taussik, ATR-BC, LCAT, LPC

  • Professional Counselor
  • Wallingford, CT
National Provider Identifier
1013535509
Registry record updated Jul 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4441
Practice address
101 N Plains Industrial Rd
Wallingford, CT 06492-2360
Phone
(914) 438-2158
NPI assigned
Jul 10, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 4441 Primary
Professional Counselor 101YP2500X 4441 CT

Addresses

Primary practice location

101 N Plains Industrial Rd
Wallingford, CT 06492-2360

Mailing address

72 Bayberry Dr
Wallingford, CT 06492-4714
Phone (914) 438-2158

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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

Enrollment IDStateProvider typePAC IDDetails
I20240301000984 CT Practitioner - Mental Health Counselor 0446664486 Practice locations: Wallingford, CT

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4441CTMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sara Taussik LLC Professional CurrentSince Jan 10, 2021 Accepting new patients
Sara Taussik LLC CurrentSince Mar 4, 2021 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1594339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594339200000",
    "number": "1013535509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 BAYBERRY DR",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064924714",
            "telephone_number": "914-438-2158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N PLAINS INDUSTRIAL RD",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064922360",
            "telephone_number": "914-438-2158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAUSSIK",
        "first_name": "SARA",
        "name_prefix": "Ms.",
        "credential": "ATR-BC, LCAT, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-10",
        "last_updated": "2020-07-10",
        "certification_date": "2020-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": "4441",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "4441",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wallingford, CT

Sources for this page

Verify at the official NPI Registry.