Active NPI
Lauren Diane Ares, LMFT
- Marriage & Family Therapist
- New York, NY
National Provider Identifier
1104393222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 001395-1
- Practice address
- 90 Broad St FL 90Broad3
New York, NY 10004-2205 - Phone
- (267) 587-6369
- NPI assigned
- Oct 26, 2018
- Last updated
- Oct 26, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 001395-1 | NY | Primary |
Addresses
Primary practice location
90 Broad St FL 90Broad3
New York, NY 10004-2205
Mailing address
90 Broad St FL 3
New York, NY 10004-3342
Phone (267) 587-6369
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 6, 2025 through Feb 6, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001395 | NY | MD | Counselor |
| 001395-1 | NY | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540512000000",
"number": "1104393222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90 BROAD ST FL 3",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100043342",
"telephone_number": "267-587-6369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "90 BROAD ST FL 90BROAD3",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100042205",
"telephone_number": "267-587-6369"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARES",
"first_name": "LAUREN",
"middle_name": "DIANE",
"name_prefix": "Ms.",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-10-26",
"last_updated": "2018-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NY",
"license": "001395-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.