Tri State Counseling and Mediation LCSW PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R044004-01 Issued in NY

Legal business name

TRI STATE COUNSELING AND MEDIATION LCSW PLLC

Practice address

38 W 32ND St Ste 1511
New York, NY 10001-3875

Phone

(917) 215-2169

Fax

(801) 708-0844

NPI assigned

Oct 24, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Vasudeva Chikkatur Murthy, L.C.S.W.NPI 1497859599

Title

President

Phone

(646) 523-2352

Specialties & licenses 3

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vasudeva Chikkatur Murthy, LCSWR LCSW

  • Clinical Social Worker
  • New York, NY
  • NPI 1497859599
  Medicare reassignment Authorized official
• Vincent Harry Calenda, LCSW

  • Clinical Social Worker
  • New York, NY
  • NPI 1043390123
  NPD (past)
• Kerry Counihan, L.AC.

  • Acupuncturist
  • New York, NY
  • NPI 1144455593
  NPD (past)
• Edi M Peterson, LPC

  • Mental Health Counselor
  • New York, NY
  • NPI 1295991990
  NPD (past)
• Dalita Louise Rubinstein, ED.D.

  • Mental Health Counselor
  • New York, NY
  • NPI 1881837862
  NPD (past)
• Vivien K Zak, LCSW-R

  • Clinical Social Worker
  • Brooklyn, NY
  • NPI 1871582510
  NPD (past)

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591833600000",
    "number": "1487738761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25403 84TH DR",
            "address_2": "REGISTERED OFFICE",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110011009",
            "telephone_number": "646-523-2352",
            "fax_number": "801-708-0844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 W 32ND ST STE 1511",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100013875",
            "telephone_number": "917-215-2169",
            "fax_number": "801-708-0844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI STATE COUNSELING AND MEDIATION LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A",
        "authorized_official_last_name": "MURTHY",
        "authorized_official_first_name": "VASUDEVA",
        "authorized_official_middle_name": "CHIKKATUR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-523-2352",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.C.S.W."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R044004-01",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC01333400",
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, School",
            "state": "NY",
            "license": "523650470",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "16168101",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP NEW YORK",
            "identifier": "37199P",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS PROVIDER",
            "identifier": "579069",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0152427",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02861356",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA BEHAVIORAL PROVIDER",
            "identifier": "2324784",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "METROPLUS",
            "identifier": "R044004",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Miguel Triana, CCC-SLP

• Clinical Social Worker in New York, NY
• Providers in New York, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.