Allissa Tamiso, LPC, NCC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

46.005599 Issued in CT

Practice address

360 Main St Ste 2D
Middletown, CT 06457-3375

Phone

(860) 248-6046

NPI assigned

Nov 10, 2020

Sex

Female

Sole proprietor

No

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.

• Small Victories Wellness Services, PLLC

  • Adult Mental Health Clinic/Center
  • Middletown, CT
  • NPI 1861911455

  Counselor

  NPD

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

{
    "created_epoch": "1604966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658793600000",
    "number": "1265034862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 MAIN ST STE 2D",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064573375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 MAIN ST STE 2D",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064573375",
            "telephone_number": "860-248-6046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAMISO",
        "first_name": "ALLISSA",
        "credential": "LPC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-10",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CT",
            "license": "46.005599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Anna Ta, DO
• Brian Taber
• Jeffrey H Takahashi, MD
• Edmund Tamas Takata
• Christine Joanne Taliercio, D.O.
• Michael Tammaro, PA-C
• Michael Tao, M.D.
• Lisa Tarchini, OT
• Diane Tarricone, PH.D.,LPC,NCC
• Lynn M Taylor, APRN

• Counselor in Middletown, CT
• Providers in Middletown, CT by specialty
• Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2022; 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.