Individual provider Active NPI

Takia Feliciano, MS, LMHC-D, CASAC

  • Mental Health Counselor
  • Plattsburgh, NY
National Provider Identifier
1982075222
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
P98585 Issued in NY
Practice address
20 Miller St
Plattsburgh, NY 12901-1831
Phone
(518) 565-9577
NPI assigned
Oct 13, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 31674 CASAC-T NY
Mental Health Counselor 101YM0800X P98585 NY Primary

Addresses

Primary practice location

20 Miller St
Plattsburgh, NY 12901-1831

Mailing address

20 Miller St
Plattsburgh, NY 12901-1831
Phone (518) 565-9577

Other names 1

  • Takia Caballero Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Previously, effective Aug 26, 2024 through Aug 26, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
31674 CASAC-TNYMDAddiction (Substance Use Disorder) Counselor
P98585NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Peaceful Pathways Mental Health Counseling Services PLLC Mental Health CurrentSince Aug 17, 2025 Accepting new patients

Locations

20 Miller St
Plattsburgh, NY 12901
Phone (518) 565-9577

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1444694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1982075222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 MILLER ST",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129011831",
            "telephone_number": "518-565-9577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 MILLER ST",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129011831",
            "telephone_number": "518-565-9577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELICIANO",
        "first_name": "TAKIA",
        "name_prefix": "Mrs.",
        "credential": "MS, LMHC-D, CASAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-13",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "31674  CASAC-T",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "P98585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAKIA",
            "last_name": "CABALLERO",
            "credential": "BSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Plattsburgh, NY

Sources for this page

Verify at the official NPI Registry.