Active NPI
Teresa M. Decker, LCSW-R
- Mental Health Counselor
- New Hartford, NY
National Provider Identifier
1639154859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- PR046076-1
- Practice address
- 3985 Oneida St
New Hartford, NY 13413-9733 - Phone
- (315) 737-5463
- NPI assigned
- Dec 9, 2005
- 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 | PR046076-1 | NY | Primary |
Addresses
Primary practice location
3985 Oneida St
New Hartford, NY 13413-9733
Mailing address
4 Forest Rd
Utica, NY 13501-6623
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PR046076-1 | NY | MD | Mental Health Counselor |
| 046076 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1639154859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 FOREST RD",
"city": "UTICA",
"state": "NY",
"postal_code": "135016623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3985 ONEIDA ST",
"city": "NEW HARTFORD",
"state": "NY",
"postal_code": "134139733",
"telephone_number": "315-737-5463"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DECKER",
"first_name": "TERESA",
"middle_name": "M.",
"credential": "LCSW-R",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-12-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "PR046076-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Hartford, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.