Cynthia Marie Tloczkowski, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

001233 Issued in NY

Practice address

100 Rollstone Ave
West Sayville, NY 11796-1305

Phone

(631) 816-4154

NPI assigned

Mar 14, 2023

Last updated

Mar 14, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Therapy Booth - Counseling Services

  • Mental Health Counselor
  • West Sayville, NY
  • NPI 1790543239
  NPD Authorized official

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

{
    "created_epoch": "1678752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678752000000",
    "number": "1861193005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 ROLLSTONE AVE",
            "city": "WEST SAYVILLE",
            "state": "NY",
            "postal_code": "117961305",
            "telephone_number": "631-816-4154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ROLLSTONE AVE",
            "city": "WEST SAYVILLE",
            "state": "NY",
            "postal_code": "117961305",
            "telephone_number": "631-816-4154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TLOCZKOWSKI",
        "first_name": "CYNTHIA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-14",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "001233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• SRG Treatment Services Incorporated
• Danielle Lee St.Lawrence, SLP
• Megan Elizabeth Stettinger, LMSW
• Therapy Booth - Counseling Services
• Denise Thomas
• David Anthony Torres
• Jennifer Rose Uretsky, LAC
• John Vasko Jr., DMD
• Tara A Verrier, D.O.
• Brooke Weekes

• Mental Health Counselor in West Sayville, NY
• Providers in West Sayville, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2023; 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.