Poorva Talapatra, M.Ed., LCPC
Counselor, Mental Health in Carbondale, IL. Individual provider (NPI-1).
NPI number1013210194
StatusActive
Last updated in NPPESAug 25, 2015
Details
- NPI
- 1013210194
- Entity type
- Individual (NPI-1)
- Name
- Poorva Talapatra
- Credential
- M.Ed., LCPC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 13, 2010
- Last updated
- Aug 25, 2015
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - MENTAL HEALTH COUNSELOR
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 178005097 | IL | Yes |
Practice location
400 S Lewis LnCarbondale, IL 62901-3547
Phone 618-519-9900 · Fax 618-529-1384
Mailing address
Po Box 577109 California St
Carterville, IL 62918-0577
Phone 618-985-8221 · Fax 618-985-4635
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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