TARA RAE DONER MHC-LP
NPI 1275339301
Counselor - Mental Health in Jericho, NY
Active since February 20, 2025
About Tara Rae Doner Mhc-lp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TARA RAE DONER MHC-LP (NPI 1275339301) is an individual mental health provider in Jericho, New York, licensed in New York (P133460) and active in the NPI registry since February 2025.
NPPES Registry Identity
NPI1275339301
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTARA RAE DONERCredential: MHC-LP
Location Address380 N BROADWAY PH EJericho, NY 11753-2198
Mailing Address368 Veterans Memorial Hwy Ste 3Commack, NY 11725-4322 · (631) 533-0315 · Fax (855) 752-5170
Phone(631) 533-0315
Fax(855) 752-5170
Sole ProprietorNo
Enumeration DateFebruary 20, 2025
NPPES CertifiedFebruary 20, 2025
✔ NPI 1275339301 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NY · P133460
380 N BROADWAY PH E, Jericho, NY 11753
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Nurse Practitioner (Psychiatric/Mental Health)
380 N BROADWAY PH E
JERICHO, NY 11753
JERICHO, NY 11753
Nurse Practitioner (Psychiatric/Mental Health)
380 N BROADWAY PH E
JERICHO, NY 11753
JERICHO, NY 11753
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1275339301, enumerated as an "individual" on February 20, 2025.
The provider is located at 380 N BROADWAY PH E JERICHO, NY 11753 and the phone number is (631) 533-0315.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
