MEDICARE: NICHOLAS FAGER LICENSED MENTAL HEALTH COUNSELOR PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	008313	NY
2	1041C0700X	Clinical Social Worker	085005-1	NY
3	101YM0800X	Mental Health Counselor	008364	NY

General Provider Information

NPI Number	:	1164910477
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NICHOLAS FAGER LICENSED MENTAL HEALTH COUNSELOR PLLC

Provider Business Mailing Address
First Line	:	225 BROADWAY STE 3009
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10007-3071
Country	:	US
Telephone Number	:	203-253-6602
Fax Number	:

Provider Business Practice Location Address
First Line	:	225 BROADWAY STE 3009
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10007-3071
Country	:	US
Telephone Number	:	203-253-6602
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. NICHOLAS FAGER
Credential	:	LMHC
Telephone Number	:	203-253-6602

Provider Enumeration Date	:	04/23/2018
Last Update Date	:	04/23/2018

Similar Medicare Providers

1700244944 — NICK FAGER LMHC
Practice Location Address:

225 BROADWAY STE 3009
NEW YORK, NY
10007-3071

Practice Phone: 203-253-6602
Practice Fax:

1437664042 — MEGAN MURPHY LMHC
Practice Location Address:

225 BROADWAY STE 3009
NEW YORK, NY
10007-3071

Practice Phone: 212-655-9817
Practice Fax:

1700354305 — ABIGAIL L RUTH LCSW
Practice Location Address:

225 BROADWAY STE 3009
NEW YORK, NY
10007-3071

Practice Phone: 212-655-9817
Practice Fax:

1780695403 — DR. PATRICK J KELLY M.D.
Practice Location Address:

14 SUTTON PL S , 11C
NEW YORK, NY
10022-3071

Practice Phone: 212-751-7751
Practice Fax:

1871436212 — ANNIE DORIS WAKEFIELD
Practice Location Address:

8048 SPRING THAW LN
NEW KENT, VA
23124-3071

Practice Phone: 540-351-2040
Practice Fax:

1306492939 — RENEE R. RHEAUME DELEON
Practice Location Address:

224 ROCK SPRINGS DR
NEW BRAUNFELS, TX
78130-3071

Practice Phone: 843-226-9016
Practice Fax:

Directions to “NICHOLAS FAGER LICENSED MENTAL HEALTH COUNSELOR PLLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.