Active NPI
Maura Reilly Nolan, MA, MHC-LP
- Mental Health Counselor
- New York, NY
National Provider Identifier
1255833489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- P07412
- Practice address
- 96 W Houston St
New York, NY 10012-2553 - Phone
- (121) 559-5628
- NPI assigned
- Mar 4, 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | P07412 | NY | Primary |
Addresses
Primary practice location
96 W Houston St
New York, NY 10012-2553
Mailing address
1125 Jefferson St Apt 609
Hoboken, NJ 07030-7213
Phone (215) 595-6280
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P07412 | NY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1520121600000",
"number": "1255833489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1125 JEFFERSON ST APT 609",
"city": "HOBOKEN",
"state": "NJ",
"postal_code": "070307213",
"telephone_number": "215-595-6280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "96 W HOUSTON ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100122553",
"telephone_number": "121-559-5628"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOLAN",
"first_name": "MAURA",
"middle_name": "REILLY",
"credential": "MA, MHC-LP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-03-04",
"last_updated": "2018-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "P07412",
"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 Mar 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.