Individual provider Active NPI

Sara Elizabeth Daly

  • Mental Health Counselor
  • Jersey City, NJ
National Provider Identifier
1376190470
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
37PC00895500 Issued in NJ
Practice address
301 New York Ave Apt 2
Jersey City, NJ 07307-1401
Phone
(551) 229-2778
NPI assigned
Aug 22, 2019
Last updated
Dec 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X P14647 NY
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 011096 NY
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 37PC00895500 NJ Primary

Addresses

Primary practice location

301 New York Ave Apt 2
Jersey City, NJ 07307-1401

Mailing address

301 New York Ave Apt 2
Jersey City, NJ 07307-1401

Other practice location 1

358 Saint Marks Pl
Staten Island, NY 10301-2417
Phone (718) 727-3303

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
37PC00895500NJMDMental Health Counselor
P14647NYMDMental Health Counselor
011096NYMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Balanced Mind Therapy Mental Health CurrentSince Dec 15, 2024 Accepting new patients
Coordinated Behavioral Care Ipa Inc PastSince Aug 1, 2019 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1566432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1376190470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 NEW YORK AVE APT 2",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073071401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 NEW YORK AVE APT 2",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073071401",
            "telephone_number": "551-229-2778"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "358 Saint Marks Pl",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103012417",
            "country_code": "US",
            "telephone_number": "718-727-3303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DALY",
        "first_name": "SARA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-22",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "P14647",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "011096",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37PC00895500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.