Individual provider Active NPI

Francisco Paler-Large

  • Mental Health Counselor
  • Ithaca, NY
National Provider Identifier
1720729668
Registry record updated Apr 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
103388 Issued in NY
Practice address
318 N Aurora St
Ithaca, NY 14850-4274
Phone
(607) 391-0162
Fax
(607) 391-0162
NPI assigned
Apr 5, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2022

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 103388 NY Primary

Addresses

Primary practice location

318 N Aurora St
Ithaca, NY 14850-4274

Mailing address

4301 Jacksonville Rd
Trumansburg, NY 14886-9034
Phone (607) 793-7383

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
103388NYMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1720729668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 JACKSONVILLE RD",
            "city": "TRUMANSBURG",
            "state": "NY",
            "postal_code": "148869034",
            "telephone_number": "607-793-7383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 N AURORA ST",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148504274",
            "telephone_number": "607-391-0162",
            "fax_number": "607-391-0162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALER-LARGE",
        "first_name": "FRANCISCO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-05",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "103388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ithaca, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; 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.