MEDICARE: MRS. GINGER MARIE TALERICO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	MH8857	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1245322478
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. GINGER MARIE TALERICO

Provider Business Mailing Address
First Line	:	9015 TOWN CENTER PKWY UNIT 106
Second Line	:
City	:	LAKEWOOD RANCH
State	:	FL
Zip	:	34202-5012
Country	:	US
Telephone Number	:	941-228-5144
Fax Number	:	888-769-9093

Provider Business Practice Location Address
First Line	:	9015 TOWN CENTER PKWY UNIT 106
Second Line	:
City	:	LAKEWOOD RANCH
State	:	FL
Zip	:	34202-5012
Country	:	US
Telephone Number	:	941-228-5144
Fax Number	:	888-769-9093

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/28/2006
Last Update Date	:	02/02/2026

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