Active NPI
Justin Tausig, LMHC, NCC
- Mental Health Counselor
- New York, NY
National Provider Identifier
1124337456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 005532
- Practice address
- 16 East 40TH Street
Suite 1001 the Center for Optimal Performance
New York, NY 10016 - Phone
- (917) 574-3666
- NPI assigned
- Oct 5, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 005532 | NY | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
16 East 40TH Street
Suite 1001 the Center for Optimal Performance
New York, NY 10016
Mailing address
16 East 40TH Street
Suite 1001 the Center for Optimal Performance
New York, NY 10016
Phone (917) 574-3666
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1286236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463961600000",
"number": "1124337456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 EAST 40TH STREET",
"address_2": "SUITE 1001 THE CENTER FOR OPTIMAL PERFORMANCE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10016",
"telephone_number": "917-574-3666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 EAST 40TH STREET",
"address_2": "SUITE 1001 THE CENTER FOR OPTIMAL PERFORMANCE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10016",
"telephone_number": "917-574-3666"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAUSIG",
"first_name": "JUSTIN",
"credential": "LMHC, NCC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-10-05",
"last_updated": "2016-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "005532",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.