Individual provider Active NPI

Tamara Ora Mason, LMHC

  • Mental Health Counselor
  • Staten Island, NY
National Provider Identifier
1427627306
Registry record updated Jun 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
010678-01 Issued in NY
Practice address
16 N Mada Ave FL 2
Staten Island, NY 10310-2118
Phone
(347) 349-0535
NPI assigned
Jun 23, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2021

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 010678-01 NY Primary

Addresses

Primary practice location

16 N Mada Ave FL 2
Staten Island, NY 10310-2118

Mailing address

16 N Mada Ave FL 2
Staten Island, NY 10310-2118
Phone (347) 349-0535

Other names 1

  • Tamara Ora Villaruel Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL 1 Health Information Exchange (HIE) Babylon Health, PLLC

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

State licenses

LicenseStateTypeSpecialty
010678-01NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
TM Therapy Services, LLC Current Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1624406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624406400000",
    "number": "1427627306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 N MADA AVE FL 2",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103102118",
            "telephone_number": "347-349-0535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 N MADA AVE FL 2",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103102118",
            "telephone_number": "347-349-0535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASON",
        "first_name": "TAMARA",
        "middle_name": "ORA",
        "name_prefix": "Mrs.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-23",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "010678-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "1",
            "affiliation": "Y",
            "affiliationName": "Babylon Health, PLLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "1",
            "address_1": "16 N Mada Ave Fl 2",
            "city": "Staten Island",
            "state": "NY",
            "country_code": "US",
            "postal_code": "103102118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TAMARA",
            "last_name": "VILLARUEL",
            "middle_name": "ORA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2021; 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.