Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Carly Tullos

Individual provider Mental Health Counselor · NPI 1578022802

Carly Tullos is a Mental Health Counselor in Syracuse, New York. Qualified in 2010, 16 years ago. Licensed in New York.

Years since qualifying
16
Licensed in
NY
In the registry since
2019
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1045 James St
Syracuse, NY 13203-2730
Phone: (315) 956-4387
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 014095-01 (NY)

Record details

NPI number1578022802
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 16, 2019
Last updated in NPPESAugust 4, 2026
Certification dateAugust 4, 2026
Mailing address116 Terrace Dr, Syracuse, NY 13219-2747

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Syracuse