Individual provider Active NPI

Lauren Scupp, LMHC, CRC

  • Mental Health Counselor
  • Miller Place, NY
National Provider Identifier
1144983073
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
011690 Issued in NY
Practice address
335 Tyler Ave
Miller Place, NY 11764-3422
Phone
(908) 210-2408
NPI assigned
Oct 18, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 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 011690 NY Primary

Addresses

Primary practice location

335 Tyler Ave
Miller Place, NY 11764-3422

Mailing address

19 Arrowhead Dr
Shirley, NY 11967-2620

Other practice location 1

335 Tyler Ave
Miller Place, NY 11764-3422
Phone (908) 210-2408

Other practice location 2

335 Tyler Ave
Miller Place, NY 11764-3422
Phone (908) 210-2408

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
011690NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1634515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747094400000",
    "number": "1144983073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 ARROWHEAD DR",
            "city": "SHIRLEY",
            "state": "NY",
            "postal_code": "119672620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 TYLER AVE",
            "city": "MILLER PLACE",
            "state": "NY",
            "postal_code": "117643422",
            "telephone_number": "908-210-2408"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "335 Tyler Ave",
            "address_purpose": "LOCATION",
            "city": "Miller Place",
            "state": "NY",
            "postal_code": "117643422",
            "country_code": "US",
            "telephone_number": "908-210-2408",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "335 Tyler Ave",
            "address_purpose": "LOCATION",
            "city": "Miller Place",
            "state": "NY",
            "postal_code": "117643422",
            "country_code": "US",
            "telephone_number": "908-210-2408",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCUPP",
        "first_name": "LAUREN",
        "credential": "LMHC, CRC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-18",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "011690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miller Place, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; 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.