Stephen Kassiotis, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

005339 Issued in NY

Practice address

77 Prospect Ter
Montgomery, NY 12549-1411

Phone

(845) 772-1075

NPI assigned

Aug 25, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1408924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408924800000",
    "number": "1083014252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 PROSPECT TER",
            "city": "MONTGOMERY",
            "state": "NY",
            "postal_code": "125491411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 PROSPECT TER",
            "city": "MONTGOMERY",
            "state": "NY",
            "postal_code": "125491411",
            "telephone_number": "845-772-1075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASSIOTIS",
        "first_name": "STEPHEN",
        "name_prefix": "Mr.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-08-25",
        "last_updated": "2014-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "005339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kardiabelle Medical PLLC
• Stephanie Kaufmann
• Alvine M Koumpo
• Ashley Ladka
• Joseph Lafasciano, PHARMACIST
• Linda Leahy

• Mental Health Counselor in Montgomery, NY
• Providers in Montgomery, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.