Active NPI
Holland Ann Troeger, LMHC
- Mental Health Counselor
- Monroe, NY
National Provider Identifier
1578172367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 012467-01
- 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, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 106210 | NY | MD | Addiction (Substance Use Disorder) Counselor |
| 012467-01 | NY | MD | Mental Health Counselor |
| 012467 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New 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.
-
dba Nourish Your Mind Counseling & Psychotherapy
- Clinical Social Worker
- Monroe, NY
- NPI 1811532385
Mental Health
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.