Individual provider Active NPI

Nagla Hady Radwan, MA CMHC

  • Mental Health Counselor
  • New York, NY
National Provider Identifier
1427676527
Registry record updated Jul 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
P105601 Issued in NY
Practice address
167 W 21St St Ste 3N
New York, NY 10011-3200
Phone
(347) 603-0291
NPI assigned
Jul 6, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2020

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 P105601 NY Primary

Addresses

Primary practice location

167 W 21St St Ste 3N
New York, NY 10011-3200

Mailing address

2194 Barnes Ave Apt C4
Bronx, NY 10462-1927
Phone (347) 398-3738

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251107003438 NY Practitioner - Mental Health Counselor 9739679671 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

167 W 21St St
New York, NY 10011-3200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
P105601NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Individualized Psychotherapy Mental Health Counseling PLLC Mental Health CurrentSince Oct 1, 2025 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1593993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593993600000",
    "number": "1427676527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2194 BARNES AVE APT C4",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104621927",
            "telephone_number": "347-398-3738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 W 21ST ST STE 3N",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100113200",
            "telephone_number": "347-603-0291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADWAN",
        "first_name": "NAGLA",
        "middle_name": "HADY",
        "name_prefix": "Ms.",
        "credential": "MA CMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-06",
        "last_updated": "2020-07-06",
        "certification_date": "2020-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "P105601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.