Individual provider Active NPI

Edward J Yaeger Jr., MBA, MPA, MA

  • Mental Health Counselor
  • New York, NY
National Provider Identifier
1417540097
Registry record updated Feb 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
144 E 44TH St Ste 401
New York, NY 10017-4094
Phone
(917) 881-6749
NPI assigned
Feb 16, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2021

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 Primary

Addresses

Primary practice location

144 E 44TH St Ste 401
New York, NY 10017-4094

Mailing address

144 E 44TH St Ste 401
New York, NY 10017-4094
Phone (917) 881-6749

Other practice location 1

144 E 44th St Ste 401
New York, NY 10017-4094
Phone (917) 881-6749

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.freshpathny.com Direct

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
Credentials
Master of Arts, Master of Business Administration

NPI Registry JSON

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

{
    "created_epoch": "1613433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613433600000",
    "number": "1417540097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 E 44TH ST STE 401",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100174094",
            "telephone_number": "917-881-6749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 E 44TH ST STE 401",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100174094",
            "telephone_number": "917-881-6749"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "144 E 44th St Ste 401",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100174094",
            "country_code": "US",
            "telephone_number": "917-881-6749",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YAEGER",
        "first_name": "EDWARD",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "MBA, MPA, MA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-16",
        "last_updated": "2021-02-16",
        "certification_date": "2021-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.freshpathny.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "144 E 44th St Ste 401",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100174094",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Feb 16, 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.

Verify at the official NPI Registry.