YEKATERINA TARKOVSKY
NPI 1023661204
Counselor - Professional in Hawley, PA

Active since July 17, 2019PECOS EnrolledAccepts Medicare Assignment
106 SHOOK RD STE 209, HAWLEY, PA 18428(570) 977-1294 Get Directions Write a Review

NPPES record last updated: June 11, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jun 11, 2025, Jul 17, 2019 (2 updates tracked since 2019).

About Yekaterina Tarkovsky NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

YEKATERINA TARKOVSKY (NPI 1023661204) is an individual professional provider in Hawley, Pennsylvania, licensed in Pennsylvania (PC014498) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Scranton, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1023661204
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameYEKATERINA TARKOVSKY
Location Address106 SHOOK RD STE 209Hawley, PA 18428-7059
Mailing Address851 Commerce BlvdDickson City, PA 18519-1759 · (570) 489-5561
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 17, 2019
Last NPPES UpdateJune 11, 20252 updates tracked since enumeration
NPPES CertifiedJune 11, 2025
✔ NPI 1023661204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in PA · PC014498
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
106 SHOOK RD STE 209, Hawley, PA 18428

Secondary Practice Location 1

Location 1228 S Main AveScranton, PA 18504-2545 · Phone (570) 904-7363

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Yekaterina Tarkovsky is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9032567102
PECOS Enrollment IDI20231130000025
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Professional)
106 SHOOK RD STE 209
HAWLEY, PA 18428

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Yekaterina Tarkovsky's NPI number?

The NPI number for Yekaterina Tarkovsky is 1023661204. It was assigned to this individual provider in the NPPES registry on July 17, 2019.

Where is Yekaterina Tarkovsky located?

Yekaterina Tarkovsky practices at 106 Shook Rd Ste 209, Hawley, PA 18428. The listed phone number is (570) 977-1294.

What is Yekaterina Tarkovsky's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Yekaterina Tarkovsky enrolled in Medicare?

Yes. Yekaterina Tarkovsky is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Yekaterina Tarkovsky was last updated on June 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.