Active NPI
Katia Aurora Tallarico, KATIA TALLARICO
- Mental Health Counselor
- New York, NY
National Provider Identifier
1700103801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 004362-1
- Practice address
- 116 John St
27TH Floor
New York, NY 10038-3300 - Phone
- (212) 385-0086
- NPI assigned
- Apr 28, 2010
- 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 | 004362-1 | NY | Primary |
Addresses
Primary practice location
116 John St
27TH Floor
New York, NY 10038-3300
Mailing address
38 W 31St St
Apt139
New York, NY 10001-4403
Phone (917) 667-5683
Other names 1
- Katia Tallarico
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 |
|---|---|---|---|
| 004362-1 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cis Counseling Center | Past | Accepting new patients | |
| Cis Counseling Center Inc | Mental Health | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Health Maintenance Organization
- New York, NY
- NPI 1194030320
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- New York, NY
- NPI 1548324650
Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1272844800000",
"number": "1700103801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38 W 31ST ST",
"address_2": "APT139",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100014403",
"telephone_number": "917-667-5683"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 JOHN ST",
"address_2": "27TH FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100383300",
"telephone_number": "212-385-0086"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TALLARICO",
"first_name": "KATIA",
"middle_name": "AURORA",
"credential": "KATIA TALLARICO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-04-28",
"last_updated": "2010-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "004362-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATIA",
"last_name": "TALLARICO",
"credential": "M.A, ED.M, LMHC",
"code": "2",
"type": "Professional Name"
}
]
}
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 May 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.