Tatiana Seaborn

Individual provider Active NPI Mental Health Counselor · Valley Stream, NY

NPI 1245022771 · NPPES record last updated May 20, 2025

Key facts

NPI
1245022771
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
50 W Hawthorne Ave FL 2
Valley Stream, NY 11580-6223
Phone
(516) 569-6600
NPI assigned
May 20, 2025
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Jason Diana LCSW Past
since May 25, 2025
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

50 W Hawthorne Ave FL 2
Valley Stream, NY 11580-6223

Mailing address

23144 Mentone Ave
Laurelton, NY 11413-2955
Phone (718) 810-2506

Other providers in Valley Stream, NY

All providers in Valley Stream, NY · Mental Health Counselor in New York

Sources for this page

Verify at the official NPI Registry.