Individual provider Active NPI

Katia Aurora Tallarico, KATIA TALLARICO

  • Mental Health Counselor
  • New York, NY
National Provider Identifier
1700103801
Registry record updated May 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
004362-1 Issued in NY
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

Updated by the provider on May 3, 2010

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 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 Professional name

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

LicenseStateTypeSpecialty
004362-1NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.