NPIMap

Organization Active NPI

Fresh Start Marriage and Family Therapy, PLLC

  • Marriage & Family Therapist
  • New York, NY
National Provider Identifier
1649986993
Registry record updated Mar 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
FRESH START MARRIAGE AND FAMILY THERAPY, PLLC
Practice address
1204 Broadway Ste 1008
New York, NY 10001-4308
Phone
(877) 777-9711
Fax
(877) 777-9711
NPI assigned
Jan 30, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2026

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

Authorized official

Name
Mrs. Aquandalla DavisNPI 1013688928
Title
Owner
Phone
(347) 394-9283

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

1204 Broadway Ste 1008
New York, NY 10001-4308

Mailing address

1204 Broadway Ste 1008
New York, NY 10001-4308
Phone (877) 777-9711

National Provider Directory

National Provider Directory

Locations

1 University Plz
Brooklyn, NY 11201
Phone (718) 488-1000

442 5th Ave
#2101
New York, NY 10018
Phone (646) 598-4575

1204 Broadway
Ste 1008
New York, NY 10001
Phone (347) 235-2067

15 W 38th St
Ste 820
New York, NY 10018
Phone (877) 777-9711

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1675036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773964800000",
    "number": "1649986993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 BROADWAY STE 1008",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100014308",
            "telephone_number": "877-777-9711",
            "fax_number": "877-777-9711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 BROADWAY STE 1008",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100014308",
            "telephone_number": "877-777-9711",
            "fax_number": "877-777-9711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESH START MARRIAGE AND FAMILY THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-30",
        "last_updated": "2026-03-20",
        "certification_date": "2026-03-20",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "AQUANDALLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-394-9283",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.