Active NPI
Marsha E Mandel, LMHC
- Mental Health Counselor
- Newburgh, NY
National Provider Identifier
1972985729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 005972
- Practice address
- 372 Fullerton Ave Ste 13
Newburgh, NY 12550-3740 - Phone
- (845) 458-8288
- Fax
- (845) 913-9048
- NPI assigned
- Jun 28, 2015
- Last updated
- May 13, 2021
- Sex
- Female
- 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 | 005972 | NY | Primary |
Addresses
Primary practice location
372 Fullerton Ave Ste 13
Newburgh, NY 12550-3740
Mailing address
372 Fullerton Ave Ste 13
Newburgh, NY 12550-3740
Phone (845) 458-8288
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005972 | NY | MD | Nutritionist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620864000000",
"number": "1972985729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "372 FULLERTON AVE STE 13",
"city": "NEWBURGH",
"state": "NY",
"postal_code": "125503740",
"telephone_number": "845-458-8288",
"fax_number": "845-913-9048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "372 FULLERTON AVE STE 13",
"city": "NEWBURGH",
"state": "NY",
"postal_code": "125503740",
"telephone_number": "845-458-8288",
"fax_number": "845-913-9048"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANDEL",
"first_name": "MARSHA",
"middle_name": "E",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-06-28",
"last_updated": "2021-05-13",
"certification_date": "2021-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "005972",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newburgh, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.