Individual provider Active NPI

Lissy Alcantara, MHC-LP

  • Mental Health Counselor
  • New York, NY
National Provider Identifier
1134718281
Registry record updated Jan 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
299636395 Issued in NY
Practice address
286 Fort Washington Ave Apt 1B
New York, NY 10032-1316
Phone
(212) 927-0300
Fax
(347) 230-8844
NPI assigned
Jan 13, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2021

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 299636395 NY Primary

Addresses

Primary practice location

286 Fort Washington Ave Apt 1B
New York, NY 10032-1316

Mailing address

286 Fort Washington Ave
New York, NY 10032-1315
Phone (212) 927-0300

Electronic endpoints 4

TypeEndpointUseAffiliation
Direct Messaging Address oboudierd@doctorsgps.com Direct
Direct Messaging Address oboudierd@doctorsgps.com Direct
Direct Messaging Address oboudierd@doctorsgps.com Direct
Direct Messaging Address oboudierd@doctorsgps.com Direct

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

LicenseStateTypeSpecialty
299636395NYMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1610496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610496000000",
    "number": "1134718281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "286 FORT WASHINGTON AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100321315",
            "telephone_number": "212-927-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "286 FORT WASHINGTON AVE APT 1B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100321316",
            "telephone_number": "212-927-0300",
            "fax_number": "347-230-8844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALCANTARA",
        "first_name": "LISSY",
        "credential": "MHC-LP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-13",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "299636395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "oboudierd@doctorsgps.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "text",
            "address_1": "286 Fort Washington Ave Apt 1B",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100321316",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "oboudierd@doctorsgps.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "text",
            "address_1": "286 Fort Washington Ave Apt 1B",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100321316",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "oboudierd@doctorsgps.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "text",
            "address_1": "286 Fort Washington Ave Apt 1B",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100321316",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "oboudierd@doctorsgps.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "text",
            "address_1": "286 Fort Washington Ave Apt 1B",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100321316",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; 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.