{"npi":"1487738761","type":"NPI-2","status":"active","name":{"display":"Tri State Counseling And Mediation LCSW PLLC","other":[],"organization_name":"TRI STATE COUNSELING AND MEDIATION LCSW PLLC","authorised_official":"Vasudeva Murthy"},"specialty":{"primary_taxonomy":"1041C0700X","primary_taxonomy_description":"Clinical Social Worker","slug":"clinical-social-worker","schema_org_specialty":null,"all":[{"code":"1041C0700X","description":"Clinical Social Worker","primary":false,"state":"NJ","license":"44SC01333400"},{"code":"1041S0200X","description":"School Social Worker","primary":false,"state":"NY","license":"523650470"},{"code":"1041C0700X","description":"Clinical Social Worker","primary":true,"state":"NY","license":"R044004-01"}]},"addresses":[{"purpose":"LOCATION","street_1":"38 W 32ND ST STE 1511","city":"NEW YORK","state":"NY","postal_code":"100013875","country_code":"US","phone":"9172152169","fax":"8017080844"},{"purpose":"MAILING","street_1":"25403 84TH DR","city":"FLORAL PARK","state":"NY","postal_code":"110011009","country_code":"US","street_2":"REGISTERED OFFICE","phone":"6465232352","fax":"8017080844"}],"license":{"state":"NY","number":"R044004-01"},"identifiers":[{"type_code":"01","label":"Other","value":"16168101","state":"NY","issuer":"AETNA"},{"type_code":"01","label":"Other","value":"37199P","state":"NY","issuer":"HIP NEW YORK"},{"type_code":"01","label":"Other","value":"579069","state":"NY","issuer":"VALUE OPTIONS PROVIDER"},{"type_code":"01","label":"Other","value":"0152427","state":null,"issuer":"GHI"},{"type_code":"05","label":"Medicaid","value":"02861356","state":"NY","issuer":null},{"type_code":"01","label":"Other","value":"2324784","state":"NY","issuer":"CIGNA BEHAVIORAL PROVIDER"},{"type_code":"01","label":"Other","value":"R044004","state":"NY","issuer":"METROPLUS"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20151204000966","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"NY","pac_id":"9335243880"}]},"enumeration_date":"2006-10-24","last_updated":"2020-06-11","_meta":{"source":"NPPES","snapshot_date":"2020-06-11","doc_url":"https://findmynpi.com/api"}}