Lea Sirizzotti

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

008460 Issued in NY

Practice address

212 W Main St
Riverhead, NY 11901

Phone

(631) 369-7800

NPI assigned

Mar 16, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Lea Susca/Kopelman Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1521158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533772800000",
    "number": "1285137133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 LINCOLN AVE",
            "city": "MANORVILLE",
            "state": "NY",
            "postal_code": "119493156",
            "telephone_number": "631-566-0646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 W MAIN ST",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "11901",
            "telephone_number": "631-369-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIRIZZOTTI",
        "first_name": "LEA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-16",
        "last_updated": "2018-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "008460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEA",
            "last_name": "SUSCA/KOPELMAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Simply Balanced Psychotherapy
• Simply Balanced Psychotherapy LMHC PLLC
• Melanie Sinensky
• Kamal K Singh, MD
• Mahaaninder Singh, DO
• Dennis Christopher Skow, LMSW
• Kalila Ajala Sloan
• Susan Ann Small, RN
• Dayquana M Smith
• Elizabeth Paige Smith, LMSW

• Mental Health Counselor in Riverhead, NY
• Providers in Riverhead, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2018; 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.