Individual provider Active NPI

Tanisha Proverbs

  • Professional Counselor
  • New York, NY
National Provider Identifier
1891044830
Registry record updated Jan 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC01024700 Issued in NJ
Practice address
566 7TH Ave
New York, NY 10018-1802
Phone
(212) 564-7631
NPI assigned
Sep 6, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 010358-01 NY
Mental Health Counselor 101YM0800X
Professional Counselor 101YP2500X 37PC01024700 NJ Primary

Addresses

Primary practice location

566 7TH Ave
New York, NY 10018-1802

Mailing address

716 N 5TH St
Harrison, NJ 07029-3302
Phone (973) 953-8632

Other practice location 1

716 N 5th St
Harrison, NJ 07029-3302
Phone (862) 200-7901

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
010358-01NYMDMental Health Counselor
37PC01024700NJMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1346889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737849600000",
    "number": "1891044830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 N 5TH ST",
            "city": "HARRISON",
            "state": "NJ",
            "postal_code": "070293302",
            "telephone_number": "973-953-8632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "566 7TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100181802",
            "telephone_number": "212-564-7631"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "716 N 5th St",
            "address_purpose": "LOCATION",
            "city": "Harrison",
            "state": "NJ",
            "postal_code": "070293302",
            "country_code": "US",
            "telephone_number": "862-200-7901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PROVERBS",
        "first_name": "TANISHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-06",
        "last_updated": "2025-01-26",
        "certification_date": "2025-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "010358-01",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC01024700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 26, 2025; 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.