Tracy Lynn Dushane

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

48 Royal Blvd
Delmar, NY 12054-2937

Phone

(518) 567-4604

NPI assigned

Jul 24, 2023

Last updated

Jul 24, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1690156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690156800000",
    "number": "1255011318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "357 DELAWARE AVE UNIT 386",
            "city": "DELMAR",
            "state": "NY",
            "postal_code": "120546216",
            "telephone_number": "518-595-8202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 ROYAL BLVD",
            "city": "DELMAR",
            "state": "NY",
            "postal_code": "120542937",
            "telephone_number": "518-567-4604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUSHANE",
        "first_name": "TRACY",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-24",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna Goukler, O.D., P.C.
• Michelle S Donnelly, LMSW
• Philip T Drew, MD
• Kathleen A Durivage, LCSW
• Kate Elise Dushane, RPH
• Michael Dygert, LMHC
• Elemental Physical Therapy, PLLC
• Empire Neuropsychological Services PLLC
• Empowered Midwifery Care PLLC
• Audrey Etkin, PT

• Mental Health Counselor in Delmar, NY
• Providers in Delmar, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.