Individual provider Active NPI

Torie Elizabeth Hairston, LCSW

  • Mental Health Counselor
  • New Hartford, NY
National Provider Identifier
1568700201
Registry record updated May 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
092036-01 Issued in NY
Practice address
4299 Middle Settlement Rd
New Hartford, NY 13413-5329
Phone
(315) 709-1800
NPI assigned
Jan 30, 2013
Last updated
May 18, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Mental Health Counselor 101YM0800X 092036-01 NY Primary

Addresses

Primary practice location

4299 Middle Settlement Rd
New Hartford, NY 13413-5329

Mailing address

7406 Townline Rd
Rome, NY 13440-1449

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230203001441 NY Practitioner - Clinical Social Worker 2062891229 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
092036-01NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Upstate Family Health Center Incorporated CurrentSince Dec 1, 2022 Accepting new patients
Upstate Cerebral Palsy, Inc. CurrentSince Mar 27, 2024 Accepting new patients
Upstate Cerebral Palsy, Inc Mental Health CurrentSince Mar 27, 2024 Accepting new patients

Locations

205 W Dominick St
Ste A
Rome, NY 13440
Phone (315) 219-6354

1002 Oswego St
Utica, NY 13502
Phone (315) 798-8868

125 Business Park Dr
Utica, NY 13502
Phone (315) 724-6907

1601 Armory Dr
Utica, NY 13501
Phone (315) 798-4006

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1359504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652832000000",
    "number": "1568700201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7406 TOWNLINE RD",
            "city": "ROME",
            "state": "NY",
            "postal_code": "134401449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4299 MIDDLE SETTLEMENT RD",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134135329",
            "telephone_number": "315-709-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAIRSTON",
        "first_name": "TORIE",
        "middle_name": "ELIZABETH",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-30",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "092036-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hartford, NY

Sources for this page

Verify at the official NPI Registry.