Individual provider Active NPI

Lisa D Temoshok

  • Mental Health Counselor
  • Greenfield Center, NY
National Provider Identifier
1174097539
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
14 S Greenfeld Road
Greenfield Center, NY 12833
Phone
(518) 256-2710
NPI assigned
Jan 17, 2019
Last updated
Dec 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 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 NY Primary

Addresses

Primary practice location

14 S Greenfeld Road
Greenfield Center, NY 12833

Mailing address

5510 Mack Rd
Galway, NY 12074-2409
Phone (518) 256-2710

Other practice location 1

105 Lake Hill Rd Ste 11
Burnt Hills, NY 12027-9596
Phone (518) 256-2710

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240927002692 NY Practitioner - Mental Health Counselor 9234660416 Practice locations: Burnt Hills, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
010857NYMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1547683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765756800000",
    "number": "1174097539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5510 MACK RD",
            "city": "GALWAY",
            "state": "NY",
            "postal_code": "120742409",
            "telephone_number": "518-256-2710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 S GREENFELD ROAD",
            "city": "GREENFIELD CENTER",
            "state": "NY",
            "postal_code": "12833",
            "telephone_number": "518-256-2710"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 Lake Hill Rd Ste 11",
            "address_purpose": "LOCATION",
            "city": "Burnt Hills",
            "state": "NY",
            "postal_code": "120279596",
            "country_code": "US",
            "telephone_number": "518-256-2710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TEMOSHOK",
        "first_name": "LISA",
        "middle_name": "D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-17",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenfield Center, NY

Sources for this page

Verify at the official NPI Registry.