Mira Vasjari

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

5913 Grove St
Ridgewood, NY 11385-2647

Phone

(646) 456-0819

NPI assigned

Oct 2, 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

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Chanel V. Tazza, Mental Health Counseling, P.C.

  • Mental Health Counselor
  • Glen Head, NY
  • NPI 1386114692
  Medicare reassignment NPD

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

{
    "created_epoch": "1601596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601596800000",
    "number": "1376140467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6824 64TH PL",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113855250",
            "telephone_number": "646-750-5487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5913 GROVE ST",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113852647",
            "telephone_number": "646-456-0819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASJARI",
        "first_name": "MIRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-02",
        "last_updated": "2020-10-02",
        "certification_date": "2020-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Inna Vaksman, DDS
• Denise Valentin, LMHC
• Irene Vallejo
• Brooke Vanegas, LCSW
• Cesar Vanegas, LCSW
• Dan Jason M Velez
• Carmen E. Vidal
• Ana Villacis
• Karen Villacres
• Denise Villamia, LCSW

• Mental Health Counselor in Ridgewood, NY
• Providers in Ridgewood, 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 Oct 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.