Active NPI
Terri Korba
- Mental Health Counselor
- Schoharie, NY
National Provider Identifier
1851043178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- P113774
- Practice address
- 113 Park PL
Schoharie, NY 12157-5211 - Phone
- (518) 295-8407
- NPI assigned
- Jan 19, 2022
- Last updated
- Jan 20, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 077877 | NY | |
| Mental Health Counselor | 101YM0800X | P113774 | NY | Primary |
Addresses
Primary practice location
113 Park PL
Schoharie, NY 12157-5211
Mailing address
113 Park PL
Schoharie, NY 12157-5211
Phone (518) 295-8407
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- State University of New York at Buffalo School of Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
113 Park PL
Schoharie, NY 12157-5211
Phone (518) 295-8336
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 077877 | NY | MD | Mental Health Counselor |
| P113774 | NY | MD | Mental Health Counselor |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Schoharie County Mental Health Clinic
- Clinical Social Worker
- Schoharie, NY
- NPI 1508819079
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642636800000",
"number": "1851043178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "113 PARK PL",
"city": "SCHOHARIE",
"state": "NY",
"postal_code": "121575211",
"telephone_number": "518-295-8407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "113 PARK PL",
"city": "SCHOHARIE",
"state": "NY",
"postal_code": "121575211",
"telephone_number": "518-295-8407"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KORBA",
"first_name": "TERRI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-19",
"last_updated": "2022-01-20",
"certification_date": "2022-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "077877",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "P113774",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Schoharie, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.