Individual provider Active NPI

Princess Prince-McCoade, LMHC, M.A., EDM

  • Mental Health Counselor
  • White Plains, NY
National Provider Identifier
1265980726
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
013083 Issued in NY
Practice address
104 Park Ridge LN
White Plains, NY 10603-3100
Phone
(646) 302-7776
NPI assigned
Sep 14, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 013083 NY Primary

Addresses

Primary practice location

104 Park Ridge LN
White Plains, NY 10603-3100

Mailing address

104 Park Ridge LN
White Plains, NY 10603-3100
Phone (646) 302-7776

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250516001005 NY Practitioner - Mental Health Counselor 2668990367

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

NPI Registry JSON

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

{
    "created_epoch": "1473811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739404800000",
    "number": "1265980726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 PARK RIDGE LN",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106033100",
            "telephone_number": "646-302-7776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 PARK RIDGE LN",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106033100",
            "telephone_number": "646-302-7776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRINCE-MCCOADE",
        "first_name": "PRINCESS",
        "credential": "LMHC, M.A., EDM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-14",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "013083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, NY

Sources for this page

Verify at the official NPI Registry.