Soo-Il Lee, PH.D., CTRS, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

2603 Issued in NY

Practice address

321 E Tremont Ave
Bronx, NY 10457-5304

Phone

(718) 518-3713

Fax

(718) 518-3704

NPI assigned

Feb 11, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Soo-Il Lee Mental Health Counseling, P.C.

  • Mental Health Counselor
  • Oakland Gardens, NY
  • NPI 1811574395
  NPD Authorized official
• Bronxcare Dr. Martin Luther King Jr. Health Center

  • Federally Qualified Health Center (FQHC)
  • Bronx, NY
  • NPI 1376898908
  NPD (past)
• Martin Luther King Addictive Disease Services

  • Rehabilitation Hospital
  • Bronx, NY
  • NPI 1083852933
  NPD (past)

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

{
    "created_epoch": "1234310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1386883585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 WILLOW LN",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115807020",
            "telephone_number": "516-395-8870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 E TREMONT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104575304",
            "telephone_number": "718-518-3713",
            "fax_number": "718-518-3704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "SOO-IL",
        "name_prefix": "Mr.",
        "credential": "PH.D., CTRS, LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-11",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "2603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Lee, DDS
• Sharon Lan Lee
• Shinyoung Lee
• Somin Lee, MD
• Soo Kyoung Lee, M.D.
• Soon-Duck Lee, NP
• Sophia Lee
• Soyoung Lee, NP
• Su Jung Lee
• Su Yeon Lee, MD

• Mental Health Counselor in Bronx, NY
• Providers in Bronx, 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 Mar 31, 2021; 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.