Individual provider Active NPI

Mengdan Chen

  • Marriage & Family Therapist
  • New York, NY
National Provider Identifier
1265305387
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
P138575 Issued in NY
Practice address
15 W 38TH St Ste 820
New York, NY 10018-5501
Phone
(877) 777-9711
NPI assigned
Sep 25, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X P138575 NY Primary

Addresses

Primary practice location

15 W 38TH St Ste 820
New York, NY 10018-5501

Mailing address

4 Julia Rose Dr
Rochester, NY 14624-1980
Phone (315) 952-5818

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

State licenses

LicenseStateTypeSpecialty
P138575NYMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fresh Start Marriage and Family Therapy, PLLC Marriage & Family Therapist CurrentSince Sep 28, 2025 Accepting new patients

Locations

15 W 38th St
Ste 820
New York, NY 10018
Phone (877) 777-9711

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1758758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758758400000",
    "number": "1265305387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 JULIA ROSE DR",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146241980",
            "telephone_number": "315-952-5818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 W 38TH ST STE 820",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100185501",
            "telephone_number": "877-777-9711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "MENGDAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-25",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NY",
            "license": "P138575",
            "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 Sep 25, 2025; 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.