Tacha Fletcher, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

088034 Issued in NY

Practice address

11929 80TH Rd
Kew Gardens, NY 11415-1105

Phone

(631) 681-4775

NPI assigned

May 2, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Wellness Tree Counseling Services, LLC

  • Community/Behavioral Health Agency
  • Kew Gardens, NY
  • NPI 1235719535
  Authorized official Same address or phone

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

{
    "created_epoch": "1462147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617235200000",
    "number": "1972958551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "284 ASHFORD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112073204",
            "telephone_number": "631-681-4775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11929 80TH RD",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114151105",
            "telephone_number": "631-681-4775"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1622 Central Ave",
            "address_purpose": "LOCATION",
            "city": "Far Rockaway",
            "state": "NY",
            "postal_code": "116914002",
            "country_code": "US",
            "telephone_number": "718-327-9002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLETCHER",
        "first_name": "TACHA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-02",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "088034",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "088569",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• First Choice Diagnostics Radiology PC
• First Choice PT SLP Psychology PLLC
• Aviva Fischer
• Billa Miriam Fisher Rados, MD
• Beverly Flemer
• Flyjet911
• Jasmine Fong
• Nathalia Andrea Fonseca, SLPD CCCSLP, TSSLDBE
• Forest Hills Dermatology Group PLLC
• Noah David Freedman, MD

• Mental Health Counselor in Kew Gardens, NY
• Providers in Kew Gardens, 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 Apr 1, 2021; 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.