Individual provider Active NPI

Tatiana Ashley Bazelais, LMHC-D

  • Mental Health Counselor
  • Babylon, NY
National Provider Identifier
1407397599
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
010734 Issued in NY
Practice address
85 Locust Ave
Babylon, NY 11702-2207
Phone
(631) 683-8072
NPI assigned
Mar 9, 2017
Last updated
Jun 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 010734 NY Primary

Addresses

Primary practice location

85 Locust Ave
Babylon, NY 11702-2207

Mailing address

16 Wilken LN
Brentwood, NY 11717-7515
Phone (631) 683-8072

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bloom Flourish Mental Health Counseling, PLLC Mental Health Current Accepting new patients
Rothschild Mental Health Counseling PLLC Mental Health CurrentSince Oct 19, 2020 Accepting new patients

Locations

2579 E 17th St
Ste 28
Brooklyn, NY 11235
Phone (347) 708-0777

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1489017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780876800000",
    "number": "1407397599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 WILKEN LN",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117177515",
            "telephone_number": "631-683-8072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 LOCUST AVE",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117022207",
            "telephone_number": "631-683-8072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAZELAIS",
        "first_name": "TATIANA",
        "middle_name": "ASHLEY",
        "name_prefix": "Mrs.",
        "credential": "LMHC-D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-09",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "010734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Babylon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2026; 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.