Active NPI
Nigel Lewis, MS MHC-LP, CASAC-M
- Mental Health Counselor
- Bronx, NY
National Provider Identifier
1184158685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 18-P011042-02
- Practice address
- 770 E 176TH St
Bronx, NY 10460-4617 - Phone
- (718) 583-5150
- Fax
- (718) 299-4899
- NPI assigned
- Apr 12, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 31284 | NY | |
| Mental Health Counselor | 101YM0800X | 18-P011042-02 | NY | Primary |
Addresses
Primary practice location
770 E 176TH St
Bronx, NY 10460-4617
Mailing address
770 E 176TH St
Bronx, NY 10460-4617
Phone (845) 489-1522
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
| License | State | Type | Specialty |
|---|---|---|---|
| 31284 | NY | MD | Addiction (Substance Use Disorder) Counselor |
| 18-P011042-02 | NY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722297600000",
"number": "1184158685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "770 E 176TH ST",
"city": "BRONX",
"state": "NY",
"postal_code": "104604617",
"telephone_number": "845-489-1522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "770 E 176TH ST",
"city": "BRONX",
"state": "NY",
"postal_code": "104604617",
"telephone_number": "718-583-5150",
"fax_number": "718-299-4899"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "NIGEL",
"credential": "MS MHC-LP, CASAC-M",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-04-12",
"last_updated": "2024-07-30",
"certification_date": "2024-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NY",
"license": "31284",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "18-P011042-02",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.