Active NPI
Tasheema Davis
- Mental Health Counselor
- Jackson Heights, NY
National Provider Identifier
1841856259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 784453271
- Practice address
- 3524 83Rd St FL 3
Jackson Heights, NY 11372-5229 - Phone
- (718) 639-0700
- NPI assigned
- May 13, 2019
- Last updated
- May 13, 2019
- 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 | 784453271 | NY | Primary |
Addresses
Primary practice location
3524 83Rd St FL 3
Jackson Heights, NY 11372-5229
Mailing address
3524 83Rd St FL 3
Jackson Heights, NY 11372-5229
Phone (718) 639-0700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 784453271 | Other | NY | NON DRIVERS ID |
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 |
|---|---|---|---|
| 784453271 | NY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557705600000",
"number": "1841856259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3524 83RD ST FL 3",
"city": "JACKSON HEIGHTS",
"state": "NY",
"postal_code": "113725229",
"telephone_number": "718-639-0700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3524 83RD ST FL 3",
"city": "JACKSON HEIGHTS",
"state": "NY",
"postal_code": "113725229",
"telephone_number": "718-639-0700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "TASHEEMA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-13",
"last_updated": "2019-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "784453271",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NON DRIVERS ID",
"identifier": "784453271",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jackson Heights, NY
- Pradyuman B Dave, M.D.
- David B. Goodman D.D.S. , Stephen a. Festa D.D.D.
- David Szuster Psychiatry P.C.
- David Tenembaum MD PC
- Darwin Davis, OTR/L
- Amirjon Davlatov, DDS
- Dazzling Smile of Astoria D/B/a 82ND Street Dental (82nd Street Dental)
- Juan Carlos De Fex, DDS
- Janice De Guia, DOULA
- Moraima A De la Cruz, D.D.S.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.