Kim M. Tassinari, PH.D.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

015586-01 Issued in NY

Practice address

88 Sawtooth CV
Port Jefferson, NY 11777-1446

Phone

(203) 313-4313

NPI assigned

Mar 6, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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.

• Kim Tassinari Mental Health Counseling, PLLC

  • Mental Health Counselor
  • Port Jefferson, NY
  • NPI 1114802394
  NPD Authorized official
• KT Counseling Associates, LLC

  • Community/Behavioral Health Agency
  • Newtown, CT
  • NPI 1164844320
  NPD (past) Authorized official

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

{
    "created_epoch": "1488758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1447790787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 SAWTOOTH CV",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117771446",
            "telephone_number": "203-313-4313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 SAWTOOTH CV",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117771446",
            "telephone_number": "203-313-4313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TASSINARI",
        "first_name": "KIM",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-06",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "001945",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "015586-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William L. Taibi, M.D.
• Marina Takhalov
• Christopher Rene Tanchez, DO
• Regina M Tart, LMT
• Jennifer Tassell, RPH.
• Bonnie Taub, LMT
• Michael Kenneth Tax, LPN
• Lisa Taxman Goldfarb, PH.D.
• The Community Programs Center of L.I. (Day Haven Adult Day Services)
• The Way Back, Inc.

• Mental Health Counselor in Port Jefferson, NY
• Providers in Port Jefferson, 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 Aug 6, 2025; 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.