Individual provider Active NPI

Holland Ann Troeger, LMHC

  • Mental Health Counselor
  • Monroe, NY
National Provider Identifier
1578172367
Registry record updated Nov 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
012467-01 Issued in NY
Practice address
360 State Route 17M Ste 4
Monroe, NY 10950-3444
Phone
(845) 547-0479
NPI assigned
Jul 28, 2020
Last updated
Nov 16, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 106210 NY
Mental Health Counselor 101YM0800X 012467-01 NY Primary

Addresses

Primary practice location

360 State Route 17M Ste 4
Monroe, NY 10950-3444

Mailing address

360 State Route 17M Ste 4
Monroe, NY 10950-3444
Phone (845) 547-0479

Other practice location 1

172 Liberty St
Newburgh, NY 12550-4912
Phone (845) 561-5783

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hello@nourishyourmind.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Previously, effective Sep 12, 2024 through Sep 12, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
106210NYMDAddiction (Substance Use Disorder) Counselor
012467-01NYMDMental Health Counselor
012467NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Jessica C. Sullivan LCSW, PLLC Mental Health Past 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, 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": "1595894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668556800000",
    "number": "1578172367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 STATE ROUTE 17M STE 4",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109503444",
            "telephone_number": "845-547-0479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 STATE ROUTE 17M STE 4",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109503444",
            "telephone_number": "845-547-0479"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "172 Liberty St",
            "address_purpose": "LOCATION",
            "city": "Newburgh",
            "state": "NY",
            "postal_code": "125504912",
            "country_code": "US",
            "telephone_number": "845-561-5783",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TROEGER",
        "first_name": "HOLLAND",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-28",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "106210",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "012467-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hello@nourishyourmind.com",
            "affiliation": "N",
            "address_1": "360 State Route 17M Ste 4",
            "city": "Monroe",
            "state": "NY",
            "country_code": "US",
            "postal_code": "109503444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Monroe, NY

Sources for this page

Verify at the official NPI Registry.