Individual provider Active NPI

Yong Lee, L.P.C

  • Mental Health Counselor
  • Haddon Heights, NJ
National Provider Identifier
1356506513
Registry record updated Sep 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
37PC00487600 Issued in NJ
Practice address
204 White Horse Pike
2ND Floor
Haddon Heights, NJ 08035-1739
Phone
(609) 314-9719
NPI assigned
Jul 26, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 37PC00487600 NJ Primary
Mental Health Counselor 101YM0800X C3542 OR
Mental Health Counselor 101YM0800X PC007980 PA

Addresses

Primary practice location

204 White Horse Pike
2ND Floor
Haddon Heights, NJ 08035-1739

Mailing address

204 White Horse Pike
2ND Floor
Haddon Heights, NJ 08035-1739
Phone (609) 314-9719

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
37PC00487600NJMDMental Health Counselor
C3542ORMDMental Health Counselor
PC007980PAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1217030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473292800000",
    "number": "1356506513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 WHITE HORSE PIKE",
            "address_2": "2ND FLOOR",
            "city": "HADDON HEIGHTS",
            "state": "NJ",
            "postal_code": "080351739",
            "telephone_number": "609-314-9719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 WHITE HORSE PIKE",
            "address_2": "2ND FLOOR",
            "city": "HADDON HEIGHTS",
            "state": "NJ",
            "postal_code": "080351739",
            "telephone_number": "609-314-9719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "YONG",
        "name_prefix": "Mr.",
        "credential": "L.P.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-26",
        "last_updated": "2016-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37PC00487600",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C3542",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC007980",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haddon Heights, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2016; 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.