Active NPI
Geoffrey Gerard Tilocca
- Mental Health Counselor
- New York, NY
National Provider Identifier
1306643051
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 015651
- Practice address
- 16 E 41St St Ste 5C
New York, NY 10017-6217 - Phone
- (646) 374-2827
- NPI assigned
- Feb 28, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 015651 | NY | Primary |
Addresses
Primary practice location
16 E 41St St Ste 5C
New York, NY 10017-6217
Mailing address
8801 Shore Rd
Brooklyn, NY 11209-5402
Phone (347) 267-2110
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 015651 | NY | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jack Hazan LLC | Mental Health | Past | Accepting new patients |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740700800000",
"number": "1306643051",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8801 SHORE RD",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112095402",
"telephone_number": "347-267-2110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 E 41ST ST STE 5C",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100176217",
"telephone_number": "646-374-2827"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TILOCCA",
"first_name": "GEOFFREY",
"middle_name": "GERARD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-02-28",
"last_updated": "2025-02-28",
"certification_date": "2025-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "015651",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.