Active NPI
Katasha Jarvis
- Mental Health Counselor
- Mount Vernon, NY
National Provider Identifier
1457003204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 015011
- Practice address
- 256 Washington St
Mount Vernon, NY 10553-1052 - Phone
- (914) 613-0700
- NPI assigned
- Jan 24, 2022
- Last updated
- Feb 4, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 015011 | NY | Primary |
| Mental Health Counselor | 101YM0800X | NU |
Addresses
Primary practice location
256 Washington St
Mount Vernon, NY 10553-1052
Mailing address
59 Vernon Ave
Mount Vernon, NY 10553-1615
Phone (914) 414-5322
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Guidance Center of Westchester | Current | Accepting new patients | |
| Valera Medical, P.C. | Mental Health | Current | Accepting new patients |
| The Guidance Center of Westchester, Inc | Past | Accepting new patients |
Locations
134 N 4th St
Brooklyn, NY 11249
256 Washington St
Mount Vernon, NY 10553
Phone (914) 297-3356
139 Centre St
Ste 824
New York, NY 10013
Phone (646) 450-7751
Organizations & group practices 4
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.
-
dba Sol Mental Health
- Psychiatry Physician
- New York, NY
- NPI 1831576735
-
- Community/Behavioral Health Agency
- Mount Vernon, NY
- NPI 1285218073
-
- Community/Behavioral Health Agency
- Mount Vernon, NY
- NPI 1861506974
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738627200000",
"number": "1457003204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "59 VERNON AVE",
"city": "MOUNT VERNON",
"state": "NY",
"postal_code": "105531615",
"telephone_number": "914-414-5322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "256 WASHINGTON ST",
"city": "MOUNT VERNON",
"state": "NY",
"postal_code": "105531052",
"telephone_number": "914-613-0700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JARVIS",
"first_name": "KATASHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-24",
"last_updated": "2025-02-04",
"certification_date": "2025-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "015011",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Vernon, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2025; 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.