Individual provider Active NPI

Annabella Lipson, LMHC

  • Mental Health Counselor
  • Scarsdale, NY
National Provider Identifier
1134816226
Registry record updated Apr 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
013118 Issued in NY
Practice address
188 Summerfield St Ste 1
Scarsdale, NY 10583-5480
Phone
(914) 222-3983
NPI assigned
Apr 19, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2023

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 013118 NY Primary

Addresses

Primary practice location

188 Summerfield St Ste 1
Scarsdale, NY 10583-5480

Mailing address

188 Summerfield St Ste 1
Scarsdale, NY 10583-5480
Phone (914) 222-3983

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 23, 2024 through Jan 23, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
013118NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Peaceful Living Mental Health Counseling, PLLC Mental Health CurrentSince Apr 23, 2023 Accepting new patients

Locations

188 Summerfield St
Ste 1
Scarsdale, NY 10583
Phone (914) 222-0634

Organizations & group practices 1

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": "1681862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681862400000",
    "number": "1134816226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "188 SUMMERFIELD ST STE 1",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105835480",
            "telephone_number": "914-222-3983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 SUMMERFIELD ST STE 1",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105835480",
            "telephone_number": "914-222-3983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPSON",
        "first_name": "ANNABELLA",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-19",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "013118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scarsdale, NY

Sources for this page

Verify at the official NPI Registry.