Individual provider Active NPI

Gabrielle Lauren Tassielli, LMHC, NCC, CASAC-T

  • Mental Health Counselor
  • Bay Shore, NY
National Provider Identifier
1497524565
Registry record updated Dec 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
013265 Issued in NY
Practice address
16 Anna St
Bay Shore, NY 11706-6902
Phone
(631) 327-2388
NPI assigned
Dec 29, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 013265 NY
Mental Health Counselor 101YM0800X 013265 NY Primary

Addresses

Primary practice location

16 Anna St
Bay Shore, NY 11706-6902

Mailing address

16 Anna St
Bay Shore, NY 11706-6902
Phone (631) 327-2388

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
013265NYMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1703808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703808000000",
    "number": "1497524565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 ANNA ST",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117066902",
            "telephone_number": "631-327-2388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 ANNA ST",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117066902",
            "telephone_number": "631-327-2388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TASSIELLI",
        "first_name": "GABRIELLE",
        "middle_name": "LAUREN",
        "credential": "LMHC, NCC, CASAC-T",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-29",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "013265",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "013265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay Shore, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2023; 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.