Active NPI
Frederick E Noll, LCSW
- Mental Health Counselor
- Goshen, NY
National Provider Identifier
1851494843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- R070329-1
- Practice address
- Route 17M
Suite 10
Goshen, NY 10924 - Phone
- (845) 294-6114
- Fax
- (845) 294-4139
- NPI assigned
- Sep 6, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | R070329-1 | NY | Primary |
Addresses
Primary practice location
Route 17M
Suite 10
Goshen, NY 10924
Mailing address
18 Crescent PL
Middletown, NY 10940-5614
Phone (845) 294-6114
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
| License | State | Type | Specialty |
|---|---|---|---|
| R070329-1 | NY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1851494843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 CRESCENT PL",
"city": "MIDDLETOWN",
"state": "NY",
"postal_code": "109405614",
"telephone_number": "845-294-6114",
"fax_number": "845-294-4139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ROUTE 17M",
"address_2": "SUITE 10",
"city": "GOSHEN",
"state": "NY",
"postal_code": "10924",
"telephone_number": "845-294-6114",
"fax_number": "845-294-4139"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOLL",
"first_name": "FREDERICK",
"middle_name": "E",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "R070329-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Goshen, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.