Individual provider Active NPI

Brooke Nicole Dugan

  • Mental Health Counselor
  • White Plains, NY
National Provider Identifier
1730721234
Registry record updated Apr 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
011931 Issued in NY
Practice address
235 Main St Ste 520
White Plains, NY 10601-2421
Phone
(212) 362-4490
NPI assigned
Oct 16, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X P102596 NY
Mental Health Counselor 101YM0800X 011931 NY Primary

Addresses

Primary practice location

235 Main St Ste 520
White Plains, NY 10601-2421

Mailing address

235 Main St Ste 520
White Plains, NY 10601-2421
Phone (212) 362-4490

Other practice location 1

160 Broadway
New York, NY 10038-4201
Phone (212) 362-4490

Other practice location 2

380 Lexington Ave Fl 17
New York, NY 10168-1799
Phone (212) 362-4490

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
P102596NYMDMental Health Counselor
011931NYMDPediatric Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1571184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1730721234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 MAIN ST STE 520",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106012421",
            "telephone_number": "212-362-4490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 MAIN ST STE 520",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106012421",
            "telephone_number": "212-362-4490"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "160 Broadway",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100384201",
            "country_code": "US",
            "telephone_number": "212-362-4490",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "380 Lexington Ave Fl 17",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "101681799",
            "country_code": "US",
            "telephone_number": "212-362-4490",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUGAN",
        "first_name": "BROOKE",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-16",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "P102596",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "011931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2022; 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.