Tajra Daniels, MHC-LP
Counselor, Mental Health in Nyack, NY. Individual provider (NPI-1).
NPI number1316539265
StatusActive
Last updated in NPPESFeb 10, 2021
Details
- NPI
- 1316539265
- Entity type
- Individual (NPI-1)
- Name
- Tajra Daniels
- Credential
- MHC-LP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 10, 2021
- Certification date
- Feb 10, 2021
- Last updated
- Feb 10, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | P108564 | NY | Yes |
Practice location
48 Burd St Ste 208Nyack, NY 10960-3259
Phone 646-463-2013
Mailing address
48 Burd St Ste 208Nyack, NY 10960-3259
Phone 646-463-2013
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 54 Mental Health Counselor providers in Nyack · All 736 providers in Nyack
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