Debra Beth Agulnik, LMFT
Individual provider Active NPI Marriage & Family Therapist · Ogdensburg, NY
NPI 1629328703 · NPPES record last updated Sep 14, 2012
Key facts
- NPI
- 1629328703
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- LMFT 000553-1 (NY)
- Practice address
- 1231 Congress St.
Ogdensburg, NY 13669-0000 - Phone
- (855) 257-0848
- NPI assigned
- Sep 14, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250808001815 | NY | Practitioner - Marriage and Family Therapist | 7810495975 | Practice locations: Ogdensburg, NY |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMFT 000553-1 | NY | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LMFT 000553-1 | NY | Yes |
Addresses
Primary practice location
1231 Congress St.
Ogdensburg, NY 13669-0000
Mailing address
P.O. Box308
1231 Congress St.
Ogdensburg, NY 13669-0000
Phone (855) 257-0848
Other providers in Ogdensburg, NY
- 812 Proctor Ave
- Imelda R. Abear
- Muhammad Afridi
- Ravinder N Agarwal
- Honeylee Duque Agustin
- Linda H Ainsworth
- Bailey Airoldi
- Linda Hitomi Akatsu
- Colleen Aldridge
All providers in Ogdensburg, NY · Marriage & Family Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 14, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.