Individual provider Active NPI

Andrea Marie Stang-McKeough, LMHC

  • Mental Health Counselor
  • New York, NY
National Provider Identifier
1306320312
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
P100585 Issued in NY
Practice address
2 W 45TH St Ste 1103
New York, NY 10036-4250
Phone
(646) 844-3993
Fax
(917) 725-9699
NPI assigned
Sep 17, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 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 P100585 NY Primary

Addresses

Primary practice location

2 W 45TH St Ste 1103
New York, NY 10036-4250

Mailing address

2 W 45TH St Ste 1103
New York, NY 10036-4250
Phone (646) 844-3993

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
I20260618000789 NY Practitioner - Mental Health Counselor 5890267025 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
New York, NY 10087

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P100585NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Andrea Stang-McKeough Mental Health Counseling PLLC Mental Health CurrentSince Aug 4, 2024 Accepting new patients

Locations

2 W 45th St
Ste 1103
New York, NY 10036
Phone (212) 682-3382

132 W 31st St
Fl 9
New York, NY 10001
Phone (646) 410-5871

Organizations & group practices 2

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": "1537142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746489600000",
    "number": "1306320312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 W 45TH ST STE 1103",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100364250",
            "telephone_number": "646-844-3993",
            "fax_number": "917-725-8044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 W 45TH ST STE 1103",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100364250",
            "telephone_number": "646-844-3993",
            "fax_number": "917-725-9699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANG-MCKEOUGH",
        "first_name": "ANDREA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-17",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "P100585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.