Patsy Tucker Iossi, LCMHC, PA

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

707 Issued in NC

Practice address

650 Statesville Blvd Ste 1
Salisbury, NC 28144-2283

Phone

(704) 754-7370

Fax

(704) 639-0794

NPI assigned

Aug 22, 2007

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 Feb 2, 2024 through Feb 2, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

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.

• Victor M. Rosado MD PA

  • Health Psychologist
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  • NPI 1033397526
  NPD

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

{
    "created_epoch": "1187740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608681600000",
    "number": "1235322256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 STATESVILLE BLVD STE 1",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281442283",
            "telephone_number": "704-754-7370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 STATESVILLE BLVD STE 1",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281442283",
            "telephone_number": "704-754-7370",
            "fax_number": "704-639-0794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IOSSI",
        "first_name": "PATSY",
        "middle_name": "TUCKER",
        "name_prefix": "Mrs.",
        "credential": "LCMHC, PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-22",
        "last_updated": "2020-12-23",
        "certification_date": "2020-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Salisbury, NC
• Providers in Salisbury, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2020; 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.