Active NPI
Jacquelyn Tagariello
- Mental Health Counselor
- Brooklyn, NY
National Provider Identifier
1316492689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 009710
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.