Active NPI
Tessa Brown Viserto
- Mental Health Counselor
- New York, NY
National Provider Identifier
1558071290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 119330
- Practice address
- 1199 Park Ave
New York, NY 10128-1711 - Phone
- (212) 828-7473
- NPI assigned
- Dec 5, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 119330 | NY | Primary |
Addresses
Primary practice location
1199 Park Ave
New York, NY 10128-1711
Mailing address
34 Danner Ave
Harrison, NY 10528-3316
Phone (914) 552-0523
Other practice location 1
280 Dobbs Ferry Rd Ste 303
White Plains, NY 10607-1900
Phone (914) 505-7855
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
| License | State | Type | Specialty |
|---|---|---|---|
| 119330 | NY | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lotus Psychotherapy LCSW PLLC | Mental Health | Past | 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": "1670198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759276800000",
"number": "1558071290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34 DANNER AVE",
"city": "HARRISON",
"state": "NY",
"postal_code": "105283316",
"telephone_number": "914-552-0523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1199 PARK AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101281711",
"telephone_number": "212-828-7473"
}
],
"practiceLocations": [
{
"address_1": "280 Dobbs Ferry Rd Ste 303",
"address_purpose": "LOCATION",
"city": "White Plains",
"state": "NY",
"postal_code": "106071900",
"country_code": "US",
"telephone_number": "914-505-7855",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VISERTO",
"first_name": "TESSA",
"middle_name": "BROWN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-12-05",
"last_updated": "2025-10-01",
"certification_date": "2025-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "119330",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.