Active NPI
Lisa Lavelle, LMHC, CASAC
- Mental Health Counselor
- Plainview, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 008529-1
- Practice address
- 88 Sunnyside Blvd
Plainview, NY 11803-1591 - Phone
- (516) 660-9539
- NPI assigned
- Apr 9, 2019
- Sex
- Female
- 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 | 28171 | NY | |
| Mental Health Counselor | 101YM0800X | 008529-1 | NY | Primary |
Addresses
Primary practice location
88 Sunnyside Blvd
Plainview, NY 11803-1591
Mailing address
12A Elm St
Greenvale, NY 11548-1155
Phone (516) 660-9539
Other practice location 1
88 Sunnyside Blvd
Plainview, NY 11803-1591
Phone (516) 660-9539
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3333 New Hyde Park Rd
Suite 104
New Hyde Park, NY 11042-1205
Phone (332) 245-3191
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28171 | NY | MD | Addiction (Substance Use Disorder) Counselor |
| 008529-1 | NY | MD | Mental Health Counselor |
| 008529 | NY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carmel Psychological Health, PC | Mental Health | Current | Accepting new patients |
Locations
4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392
667 Stoneleigh Ave
Ste 202
Carmel, NY 10512
Phone (845) 278-5223
3333 New Hyde Park Rd
Ste 104
New Hyde Park, NY 11042
Phone (332) 245-3191
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": "1554768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554768000000",
"number": "1477016277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12A ELM ST",
"city": "GREENVALE",
"state": "NY",
"postal_code": "115481155",
"telephone_number": "516-660-9539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "88 SUNNYSIDE BLVD",
"city": "PLAINVIEW",
"state": "NY",
"postal_code": "118031591",
"telephone_number": "516-660-9539"
}
],
"practiceLocations": [
{
"address_1": "88 Sunnyside Blvd",
"address_purpose": "LOCATION",
"city": "Plainview",
"state": "NY",
"postal_code": "118031591",
"country_code": "US",
"telephone_number": "516-660-9539",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LAVELLE",
"first_name": "LISA",
"name_prefix": "Ms.",
"credential": "LMHC, CASAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-09",
"last_updated": "2019-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NY",
"license": "28171",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "008529-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plainview, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.