Individual provider Active NPI

Talia Rosa Lustiger-Thaler, MA

  • Mental Health Counselor
  • Brooklyn, NY
National Provider Identifier
1588366256
Registry record updated Mar 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
013288 Issued in NY
Practice address
508 Clinton Ave
Brooklyn, NY 11238-2211
Phone
(917) 319-9011
NPI assigned
Mar 20, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 013288 NY Primary

Addresses

Primary practice location

508 Clinton Ave
Brooklyn, NY 11238-2211

Mailing address

508 Clinton Ave
Brooklyn, NY 11238-2211
Phone (917) 319-9011

Other practice location 1

225 Broadway Ste 840
New York, NY 10007-3705
Phone (212) 655-9817

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
013288NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Expansive Mental Health Counseling 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": "1679270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679270400000",
    "number": "1588366256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 CLINTON AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112382211",
            "telephone_number": "917-319-9011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 CLINTON AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112382211",
            "telephone_number": "917-319-9011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "225 Broadway Ste 840",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100073705",
            "country_code": "US",
            "telephone_number": "212-655-9817",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUSTIGER-THALER",
        "first_name": "TALIA",
        "middle_name": "ROSA",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-20",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "013288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.