Active NPI
Kim Tassinari Mental Health Counseling, PLLC
- Mental Health Counselor
- Port Jefferson, NY
National Provider Identifier
1114802394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- KIM TASSINARI MENTAL HEALTH COUNSELING, PLLC
- Practice address
- 88 Sawtooth CV
Port Jefferson, NY 11777-1446 - Phone
- (203) 313-4313
- NPI assigned
- Aug 7, 2025
- Last updated
- Aug 7, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kim M Tassinari, PHD
- Title
- Owner
- Phone
- (203) 313-4313
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | Primary |
Addresses
Primary practice location
88 Sawtooth CV
Port Jefferson, NY 11777-1446
Mailing address
88 Sawtooth CV
Port Jefferson, NY 11777-1446
Phone (203) 313-4313
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Mental Health Counselor
- Port Jefferson, NY
- NPI 1447790787
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1754524800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1754524800000",
"number": "1114802394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "88 SAWTOOTH CV",
"city": "PORT JEFFERSON",
"state": "NY",
"postal_code": "117771446",
"telephone_number": "203-313-4313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "88 SAWTOOTH CV",
"city": "PORT JEFFERSON",
"state": "NY",
"postal_code": "117771446",
"telephone_number": "203-313-4313"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KIM TASSINARI MENTAL HEALTH COUNSELING, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-08-07",
"last_updated": "2025-08-07",
"certification_date": "2025-08-07",
"status": "A",
"authorized_official_last_name": "TASSINARI",
"authorized_official_first_name": "KIM",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "203-313-4313",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Jefferson, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.