Individual provider Active NPI

Jamie Lettre

  • Mental Health Counselor
  • Nyack, NY
National Provider Identifier
1043802572
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
010861 Issued in NY
Practice address
311 N Midland Ave
Nyack, NY 10960-1627
Phone
(914) 345-5900
NPI assigned
Feb 5, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 010861 NY Primary

Addresses

Primary practice location

311 N Midland Ave
Nyack, NY 10960-1627

Mailing address

580 White Plains Rd
Tarrytown, NY 10591-5198
Phone (914) 345-5900

Other practice location 1

140 Route 303
Valley Cottage, NY 10989-5906
Phone (914) 345-5900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240515004125 NY Practitioner - Mental Health Counselor 8628419066 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Mental Health Association of Westchester County IncGroup PAC ID 0244121366, 24 clinicians

Practice addresses (Care Compare)

311 N Midland Ave
Suite 3
Nyack, NY 10960-1638
Phone (914) 345-5900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Mental Health Association of Westchester County, Inc. CurrentSince Mar 25, 2024 Accepting new patients
The Mental Health Association of Westchester County - Social Care Network Past Accepting new patients

Locations

311 N Midland Ave
Ste 3
Nyack, NY 10960

580 White Plains Rd
Ste 510
Tarrytown, NY 10591
Phone (518) 312-6335

140 Route 303
Vly Cottage, NY 10989
Phone (845) 267-2172

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8590/brand/1/csg/1/fhir/r4

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1612483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743465600000",
    "number": "1043802572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 WHITE PLAINS RD",
            "city": "TARRYTOWN",
            "state": "NY",
            "postal_code": "105915198",
            "telephone_number": "914-345-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 N MIDLAND AVE",
            "city": "NYACK",
            "state": "NY",
            "postal_code": "109601627",
            "telephone_number": "914-345-5900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "140 Route 303",
            "address_purpose": "LOCATION",
            "city": "Valley Cottage",
            "state": "NY",
            "postal_code": "109895906",
            "country_code": "US",
            "telephone_number": "914-345-5900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LETTRE",
        "first_name": "JAMIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-05",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "010861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nyack, NY

Sources for this page

Verify at the official NPI Registry.