Individual provider Active NPI

Jacquelyn Tagariello

  • Mental Health Counselor
  • Brooklyn, NY
National Provider Identifier
1316492689
Registry record updated Aug 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
009710 Issued in NY
Practice address
203 Jay St
Brooklyn, NY 11201-4314
Phone
(978) 884-8296
NPI assigned
Aug 16, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Mental Health Counselor 101YM0800X 009710 NY Primary

Addresses

Primary practice location

203 Jay St
Brooklyn, NY 11201-4314

Mailing address

500 Sterling PL Apt 5C
Brooklyn, NY 11238-4455
Phone (978) 884-8296

Other practice location 1

1841 Broadway
New York, NY 10023-7603
Phone (212) 333-3444

Other practice location 2

32 Court St
Brooklyn, NY 11201-4421
Phone (978) 884-8296

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

NPI Registry JSON

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

{
    "created_epoch": "1471305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693353600000",
    "number": "1316492689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 STERLING PL APT 5C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112384455",
            "telephone_number": "978-884-8296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 JAY ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112014314",
            "telephone_number": "978-884-8296"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1841 Broadway",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100237603",
            "country_code": "US",
            "telephone_number": "212-333-3444",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "32 Court St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112014421",
            "country_code": "US",
            "telephone_number": "978-884-8296",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAGARIELLO",
        "first_name": "JACQUELYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-16",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "009710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2023; 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.