Sara Urciuoli, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

010222 Issued in NY

Practice address

113 Church St
North Syracuse, NY 13212-2370

Phone

(315) 569-0930

NPI assigned

Apr 8, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 11, 2024 through Jan 11, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1586304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632096000000",
    "number": "1124657317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 HELENDALE RD STE 240",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146093173",
            "telephone_number": "585-250-1017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 CHURCH ST",
            "city": "NORTH SYRACUSE",
            "state": "NY",
            "postal_code": "132122370",
            "telephone_number": "315-569-0930"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Helendale Rd Ste 240",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "14609",
            "country_code": "US",
            "telephone_number": "585-250-1017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "URCIUOLI",
        "first_name": "SARA",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-08",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "010222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian R Tromblee
• Mary Catherine Trusilo, M.D.
• Cari Lynn Tudman, M.S.T.
• Melannie Ulloa
• Untangled, Mental Health Counseling & Creative Arts Therapy, PLLC
• Toni Lynne Vadala, LCSW, LMSW
• Carrie Marie Vincent, PHYSICAL THERAPIST
• Gayle Lynn Vinette, RN
• Susan Wagner, NP
• Shaun Waldron, ATC, LMT

• Mental Health Counselor in North Syracuse, NY
• Providers in North Syracuse, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.