Healthcare Provider Details

I. General information

NPI: 1275470361
Provider Name (Legal Business Name): KARINA VARGAS ARIAS CASAC-T
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10817 72ND AVE
FOREST HILLS NY
11375-5377
US

IV. Provider business mailing address

904 GLENMORE AVE APT 2L
BROOKLYN NY
11208-2540
US

V. Phone/Fax

Practice location:
  • Phone: 929-335-0733
  • Fax:
Mailing address:
  • Phone: 201-706-0752
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number41933
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: