Upstate Virtual Counseling

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

UPSTATE VIRTUAL COUNSELING

Practice address

114 Oneida St
Fulton, NY 13069-1213

Phone

(315) 333-2234

NPI assigned

Mar 11, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Mikaela Tubolino, PHD LMHCNPI 1962880187

Title

Owner

Phone

(315) 333-2234

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mikaela Tubolino, LMHC

  • Mental Health Counselor
  • Fulton, NY
  • NPI 1962880187
  NPD Authorized official

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

{
    "created_epoch": "1710115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710115200000",
    "number": "1346008679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5299",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131265299",
            "telephone_number": "315-333-2234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 ONEIDA ST",
            "city": "FULTON",
            "state": "NY",
            "postal_code": "130691213",
            "telephone_number": "315-333-2234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPSTATE VIRTUAL COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-11",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A",
        "authorized_official_last_name": "TUBOLINO",
        "authorized_official_first_name": "MIKAELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-333-2234",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mikaela Tubolino, LMHC
• Garrett Andrew Turtura, LIMITED PERMIT MHC
• Dorothy Tyler, R.PH.
• Sandra L Upcraft, OPHTHALMIC DISPENSER
• Upstate Pain Medicine PC
• Claire Ann Vacca, N,P.
• Mikayla Van Gorder, PA
• Mark Vanmarter, DDS
• Sanjeev Kumar Verma, MD
• W Fred Waby Opticians Inc

• Mental Health Counselor in Fulton, NY
• Providers in Fulton, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; 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.