Individual provider Active NPI

Daniel R. Trager, M.A., L.M.H.C.

  • Mental Health Counselor
  • New York, NY
National Provider Identifier
1396880423
Registry record updated Jun 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
001699 Issued in NY
Practice address
280 Madison Ave RM 1204
New York, NY 10016
Phone
(212) 534-7099
NPI assigned
Feb 20, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 001699 NY
Professional Counselor 101YP2500X 001699 NY
Mental Health Counselor 101YM0800X 001699 NY Primary

Addresses

Primary practice location

280 Madison Ave RM 1204
New York, NY 10016

Mailing address

280 Madison Ave RM 1204
New York, NY 10016-0801
Phone (212) 534-7099

Other practice location 1

280 Madison Ave
Suite 1403
New York, NY 10016-0801
Phone (212) 534-7099

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 4, 2024 through Jan 4, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
001699NYMDAudiologist

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559692800000",
    "number": "1396880423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 MADISON AVE RM 1204",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100160801",
            "telephone_number": "212-534-7099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 MADISON AVE RM 1204",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10016",
            "telephone_number": "212-534-7099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "280 Madison Ave",
            "address_2": "Suite 1403",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100160801",
            "country_code": "US",
            "telephone_number": "212-534-7099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAGER",
        "first_name": "DANIEL",
        "middle_name": "R.",
        "name_prefix": "Mr.",
        "credential": "M.A., L.M.H.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-20",
        "last_updated": "2019-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NY",
            "license": "001699",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NY",
            "license": "001699",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "001699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.