Individual provider Active NPI

Marissa Lee, LMHC

  • Counselor
  • Forest Hills, NY
National Provider Identifier
1386951986
Registry record updated Aug 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
10209 Metropolitan Ave FL 2
Forest Hills, NY 11375-6731
Phone
(917) 408-3981
NPI assigned
Sep 3, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

10209 Metropolitan Ave FL 2
Forest Hills, NY 11375-6731

Mailing address

PO Box 754195
Forest Hills, NY 11375-9195
Phone (917) 408-3981

Other practice location 1

104 70 Queens Boulevard
Suite 200
Forest Hills, NY 11375-3694
Phone (718) 275-6010

Other practice location 2

10923 71st Rd Ste 1H
Forest Hills, NY 11375-4809
Phone (917) 408-3981

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness Counseling PLC Inc CurrentSince Aug 25, 2019 Accepting new patients

Locations

10209 Metropolitan Ave
Fl 2
Forest Hills, NY 11375
Phone (347) 419-0889

10923 71st Rd
Ste 1H
Forest Hills, NY 11375
Phone (718) 268-3077

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1283472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566518400000",
    "number": "1386951986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 754195",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113759195",
            "telephone_number": "917-408-3981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10209 METROPOLITAN AVE FL 2",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113756731",
            "telephone_number": "917-408-3981"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "104 70 Queens Boulevard",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Forest Hills",
            "state": "NY",
            "postal_code": "113753694",
            "country_code": "US",
            "telephone_number": "718-275-6010",
            "fax_number": "718-275-6062",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10923 71st Rd Ste 1H",
            "address_purpose": "LOCATION",
            "city": "Forest Hills",
            "state": "NY",
            "postal_code": "113754809",
            "country_code": "US",
            "telephone_number": "917-408-3981",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "MARISSA",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-03",
        "last_updated": "2019-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2019; 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.