Liberty House Foundation, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

LIBERTY HOUSE FOUNDATION, INC.

Practice address

54 Bay Street
Glens Falls, NY 12801-3028

Phone

(518) 798-1066

Fax

(518) 798-1166

NPI assigned

Jan 6, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Jason Enser, MBA, MS

Title

Executive Director

Phone

(518) 798-1066

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1452038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696377600000",
    "number": "1154787240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 BAY STREET",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128013028",
            "telephone_number": "518-798-1066",
            "fax_number": "518-798-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 BAY STREET",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128013028",
            "telephone_number": "518-798-1066",
            "fax_number": "518-798-1166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY HOUSE FOUNDATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-06",
        "last_updated": "2023-10-04",
        "status": "A",
        "authorized_official_last_name": "ENSER",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "518-798-1066",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA, MS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassie Elaine Leonard, MD
• Roger F Levac, M.D.
• Jason Lewis, RN
• Jennifer Lynn Lewis, LMT
• Bo Li, MD
• Peggy M Liberty-Olcott, NP
• Michael Thomas Lieberth, MD
• Aurora Mary Jennifer Liebson, MD
• Lincare Inc.
• Linda P Heinzelman PTPC

• Community/Behavioral Health Agency in Glens Falls, NY
• Providers in Glens Falls, NY by specialty
• Community/Behavioral Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; 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.