Individual provider Active NPI

Patricia D Tuber

  • Mental Health Counselor
  • Goshen, NY
National Provider Identifier
1184960387
Registry record updated Dec 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
003743-1 Issued in NY
Practice address
2001 Route 17M
Goshen, NY 10924-5241
Phone
(845) 294-6185
NPI assigned
Dec 17, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 003743-1 NY Primary

Addresses

Primary practice location

2001 Route 17M
Goshen, NY 10924-5241

Mailing address

2001 Route 17M
Goshen, NY 10924-5241
Phone (845) 294-6185

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20240322002545 NY Practitioner - Mental Health Counselor 1658718895 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
003743-1NYMDMental Health Counselor
003743NYMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Hudson Vista Medical,PC CurrentSince Feb 1, 2024 Accepting new patients
Access: Supports for Living Inc. Past Accepting new patients

Locations

19 Laurel Ave
Ste LL1
Cornwall, NY 12518
Phone (845) 534-7080

70 Dubois St
Newburgh, NY 12550
Phone (845) 534-4673

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

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": "1355702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355702400000",
    "number": "1184960387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 ROUTE 17M",
            "city": "GOSHEN",
            "state": "NY",
            "postal_code": "109245241",
            "telephone_number": "845-294-6185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 ROUTE 17M",
            "city": "GOSHEN",
            "state": "NY",
            "postal_code": "109245241",
            "telephone_number": "845-294-6185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUBER",
        "first_name": "PATRICIA",
        "middle_name": "D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-17",
        "last_updated": "2012-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "003743-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goshen, NY

Sources for this page

Verify at the official NPI Registry.