Marissa Tolero

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

009688 Issued in NY

Practice address

30 E End Ave Apt 1C
New York, NY 10028-7097

Phone

(917) 670-9780

NPI assigned

May 4, 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

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Bespoke Mental Health Counseling

  • Mental Health Counselor
  • New York, NY
  • NPI 1316560550
  NPD

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

{
    "created_epoch": "1588550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588550400000",
    "number": "1205457058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 CHRISTOPHER COLUMBUS DR APT 3709",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073027063",
            "telephone_number": "510-367-2031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 E END AVE APT 1C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100287097",
            "telephone_number": "917-670-9780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLERO",
        "first_name": "MARISSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-04",
        "last_updated": "2020-05-04",
        "certification_date": "2020-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "009688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Karis Downey Toledo, M.S. CCC- SLP
• Laura Tolentino Nunez
• Robin Tolentino, PT
• Victorio R Tolentino Jr., PMHNP-BC, FNP-BC
• Clare Tolerico, CCC-SLP
• Shenay Janelle Toles, LCSW
• Herminia Agatep Tolete-Rotor, M.D.
• Christine Tolias, MD
• Sara Jaye Toline, M.A. CCC-SLP TSLD
• Cortney Toliver, M. ED

• Mental Health Counselor in New York, NY
• Providers in New York, 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 May 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.