Active NPI
Tajra Daniels, MHC-LP
- Mental Health Counselor
- Nyack, NY
National Provider Identifier
1316539265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- P108564
- Practice address
- 48 Burd St Ste 208
Nyack, NY 10960-3259 - Phone
- (646) 463-2013
- NPI assigned
- Feb 10, 2021
- Sex
- Female
- Sole proprietor
- No
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 | P108564 | NY | Primary |
Addresses
Primary practice location
48 Burd St Ste 208
Nyack, NY 10960-3259
Mailing address
48 Burd St Ste 208
Nyack, NY 10960-3259
Phone (646) 463-2013
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL |
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
| License | State | Type | Specialty |
|---|---|---|---|
| P108564 | NY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612915200000",
"number": "1316539265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "48 BURD ST STE 208",
"city": "NYACK",
"state": "NY",
"postal_code": "109603259",
"telephone_number": "646-463-2013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "48 BURD ST STE 208",
"city": "NYACK",
"state": "NY",
"postal_code": "109603259",
"telephone_number": "646-463-2013"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANIELS",
"first_name": "TAJRA",
"credential": "MHC-LP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-10",
"last_updated": "2021-02-10",
"certification_date": "2021-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "P108564",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "email",
"affiliation": "N",
"address_1": "48 Burd St Ste 208",
"city": "Nyack",
"state": "NY",
"country_code": "US",
"postal_code": "109603259",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Nyack, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.