Individual provider Active NPI

Daniel Fayerberg, LMHC

  • Mental Health Counselor
  • Brooklyn, NY
National Provider Identifier
1285084228
Registry record updated Aug 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
007301 Issued in NY
Practice address
583 5TH St Ste 1
Brooklyn, NY 11215-3503
Phone
(917) 403-8953
NPI assigned
Jun 21, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2018

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 007301 NY Primary

Addresses

Primary practice location

583 5TH St Ste 1
Brooklyn, NY 11215-3503

Mailing address

1250 Ocean Ave Apt 4P
Brooklyn, NY 11230-7464
Phone (917) 403-8953

Other practice location 1

226 W 26th St
Suite 804
New York, NY 10001-6700
Phone (347) 244-7873 ext. 103

Other practice location 2

226 W 26th St
Suite 804
New York, NY 10001-6700
Phone (347) 244-7873 ext. 103

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

Practice roles

OrganizationSpecialtyStatusNew patients
Solace Mental Health Counseling Services, P.C. Mental Health Past Accepting new patients

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": "1466467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534377600000",
    "number": "1285084228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 OCEAN AVE APT 4P",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112307464",
            "telephone_number": "917-403-8953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "583 5TH ST STE 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112153503",
            "telephone_number": "917-403-8953"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "226 W 26th St",
            "address_2": "Suite 804",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100016700",
            "country_code": "US",
            "telephone_number": "347-244-7873 x103",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "226 W 26th St",
            "address_2": "Suite 804",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100016700",
            "country_code": "US",
            "telephone_number": "347-244-7873 x103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAYERBERG",
        "first_name": "DANIEL",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-21",
        "last_updated": "2018-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "007301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.

Verify at the official NPI Registry.