Active NPI
Lisa Papantoniou
- Art Therapist
- Beacon, NY
National Provider Identifier
1023653375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Art Therapist
- License
- 001433-1
- Practice address
- 33 Henry St
Beacon, NY 12508-3006 - Phone
- (718) 806-7100
- NPI assigned
- Nov 11, 2019
- 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 |
|---|---|---|---|---|
| Art Therapist | 221700000X | 001433-1 | NY | Primary |
Addresses
Primary practice location
33 Henry St
Beacon, NY 12508-3006
Mailing address
6 Stewart Ave
Beacon, NY 12508-1240
Phone (718) 806-7100
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 |
|---|---|---|---|
| 001433-1 | NY | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573430400000",
"number": "1023653375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 STEWART AVE",
"city": "BEACON",
"state": "NY",
"postal_code": "125081240",
"telephone_number": "718-806-7100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 HENRY ST",
"city": "BEACON",
"state": "NY",
"postal_code": "125083006",
"telephone_number": "718-806-7100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAPANTONIOU",
"first_name": "LISA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-11-11",
"last_updated": "2019-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "221700000X",
"taxonomy_group": "",
"desc": "Art Therapist",
"state": "NY",
"license": "001433-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beacon, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.