Active NPI
Maksim Tsaryk, LMHC
- Mental Health Counselor
- Rochester, NY
National Provider Identifier
1912532136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 012184
- Practice address
- 225 Culver Rd Apt 3
Rochester, NY 14607-3074 - Phone
- (854) 694-2435
- NPI assigned
- Mar 9, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 104703-01 | NY | |
| Professional Counselor | 101YP2500X | TPMC1863 | FL | |
| Mental Health Counselor | 101YM0800X | 012184 | NY | Primary |
Addresses
Primary practice location
225 Culver Rd Apt 3
Rochester, NY 14607-3074
Mailing address
225 Culver Rd Apt 3
Rochester, NY 14607-3074
Phone (854) 694-2435
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | max@maksimtsaryk.com | Health Information Exchange (HIE) |
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 |
|---|---|---|---|
| 104703-01 | NY | MD | Mental Health Counselor |
| TPMC1863 | FL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646784000000",
"number": "1912532136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 CULVER RD APT 3",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146073074",
"telephone_number": "854-694-2435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 CULVER RD APT 3",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146073074",
"telephone_number": "854-694-2435"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TSARYK",
"first_name": "MAKSIM",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-03-09",
"last_updated": "2022-03-09",
"certification_date": "2022-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "104703-01",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "FL",
"license": "TPMC1863",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "012184",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "max@maksimtsaryk.com",
"affiliation": "N",
"endpointDescription": "Email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "225 Culver Rd Apt 3",
"city": "Rochester",
"state": "NY",
"country_code": "US",
"postal_code": "146073074",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.