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KERISSA LEE TABONA CASAC-T
NPI 1639982846
Counselor in Staten Island, NY

Active since January 30, 2025
460 BRIELLE AVE, STATEN ISLAND, NY 10314(718) 356-5100 Get Directions Write a Review

NPPES record last updated: January 30, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Kerissa Lee Tabona Casac-t NPPES

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

KERISSA LEE TABONA CASAC-T (NPI 1639982846) is an individual counselor in Staten Island, New York, licensed in New York (APPL-098579) and active in the NPI registry since January 2025.

NPPES Registry Identity

NPI1639982846
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameKERISSA LEE TABONACredential: CASAC-T
Location Address460 BRIELLE AVEStaten Island, NY 10314-6427
Mailing Address460 Brielle AveStaten Island, NY 10314-6427 · (718) 356-5100
Phone(718) 356-5100
Sole ProprietorNo
Enumeration DateJanuary 30, 2025
NPPES CertifiedJanuary 30, 2025
✔ NPI 1639982846 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in NY · APPL-098579
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
460 BRIELLE AVE, Staten Island, NY 10314
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Other Providers at the Same Location NPPES 20

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

CAMELOT OF SI
Substance Abuse Rehabilitation Facility (Substance Abuse Treatment, Children)
460 BRIELLE AVE
STATEN ISLAND, NY 10314
Richmond County (718) 816-6589
DONNELL WHITEN
Counselor (Addiction (Substance Use Disorder))
460 BRIELLE AVE
STATEN ISLAND, NY 10314
Richmond County (718) 816-6589
MR. DANIEL J FEREBEE LPN
Licensed Practical Nurse
460 BRIELLE AVE
STATEN ISLAND, NY 10314
Richmond County (718) 412-3161
DR. JOHN IMPERIO MD
Internal Medicine (Hematology & Oncology)
460 BRIELLE AVE
STATEN ISLAND, NY 10314
Richmond County (718) 317-3267
DR. LUCY KOLLOORI M.D.
Psychiatry & Neurology (Neurology)
460 BRIELLE AVE
STATEN ISLAND, NY 10314
Richmond County (718) 317-3267
RICHARD HART JR.
Counselor (Addiction (Substance Use Disorder))
460 BRIELLE AVE
STATEN ISLAND, NY 10314
Richmond County (718) 816-6589
MYRON PRIESTER CASAC-T
Counselor (Addiction (Substance Use Disorder))
460 BRIELLE AVE
STATEN ISLAND, NY 10314
Richmond County (718) 816-6589
MR. VINCENT JAMES ONWUEMENE NP
Nurse Practitioner (Primary Care)
460 BRIELLE AVE
STATEN ISLAND, NY 10314
Richmond County (718) 317-3000

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 Kerissa Tabona's NPI number?

The NPI number for Kerissa Tabona is 1639982846. It was assigned to this individual provider in the NPPES registry on January 30, 2025.

Where is Kerissa Tabona located?

Kerissa Tabona practices at 460 Brielle Ave, Staten Island, NY 10314. The listed phone number is (718) 356-5100.

What is Kerissa Tabona's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Kerissa Tabona was last updated on January 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.