Individual provider Active NPI

Dorene Racine, MHC

  • Mental Health Counselor
  • New York, NY
National Provider Identifier
1346069507
Registry record updated Oct 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
P126332 Issued in NY
Practice address
136 Madison Ave FL 5
New York, NY 10016-6796
Phone
(845) 270-3888
NPI assigned
Oct 5, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2024

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 P126332 NY Primary

Addresses

Primary practice location

136 Madison Ave FL 5
New York, NY 10016-6796

Mailing address

14 Emerson PLZ W Apt 14a
Emerson, NJ 07630-1826
Phone (845) 270-3888

Other practice location 1

153 Ramapo Rd Apt 11
Garnerville, NY 10923-1535
Phone (845) 270-3888

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
P126332NYMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1728086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728086400000",
    "number": "1346069507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 EMERSON PLZ W APT 14A",
            "city": "EMERSON",
            "state": "NJ",
            "postal_code": "076301826",
            "telephone_number": "845-270-3888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 MADISON AVE FL 5",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166796",
            "telephone_number": "845-270-3888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "153 Ramapo Rd Apt 11",
            "address_purpose": "LOCATION",
            "city": "Garnerville",
            "state": "NY",
            "postal_code": "109231535",
            "country_code": "US",
            "telephone_number": "845-270-3888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RACINE",
        "first_name": "DORENE",
        "name_prefix": "Ms.",
        "credential": "MHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-05",
        "last_updated": "2024-10-05",
        "certification_date": "2024-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "P126332",
            "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 Oct 5, 2024; 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.