Individual provider Active NPI

Danielle Radigan, LMHC

  • Mental Health Counselor
  • New York, NY
National Provider Identifier
1629663661
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
014470 Issued in NY
Practice address
1178 Broadway
3Rd Floor #1291
New York, NY 10001
Phone
(201) 497-4377
NPI assigned
Mar 2, 2021
Last updated
May 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2026

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 014470 NY Primary

Addresses

Primary practice location

1178 Broadway
3Rd Floor #1291
New York, NY 10001

Mailing address

1178 Broadway
3Rd Floor #1291
New York, NY 10001
Phone (201) 497-4377

Other practice location 1

505 Savalla Blvd
Farmington, NY 14425-8838
Phone (201) 497-4377

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Oct 24, 2025 through Oct 24, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dani's Mind, Body, Soul Connection LLC Mental Health Current Accepting new patients

Locations

1178 Broadway
Fl 3
New York, NY 10001
Phone (201) 497-4377

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": "1614643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1629663661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1178 BROADWAY",
            "address_2": "3RD FLOOR #1291",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10001",
            "telephone_number": "201-497-4377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1178 BROADWAY",
            "address_2": "3RD FLOOR #1291",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10001",
            "telephone_number": "201-497-4377"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "505 Savalla Blvd",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "NY",
            "postal_code": "144258838",
            "country_code": "US",
            "telephone_number": "201-497-4377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RADIGAN",
        "first_name": "DANIELLE",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-02",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "014470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.