Christine Hernandez Wassel, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

012560 Issued in NY

Practice address

635 James St Ste 1
Syracuse, NY 13203-2661

Phone

(315) 671-2953

Fax

(315) 671-2954

NPI assigned

Jul 5, 2022

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

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Liberty Resources Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Syracuse, NY
  • NPI 1225254881
  Medicare reassignment NPD
• Liberty Resources, Inc.

  • Federally Qualified Health Center (FQHC)
  • Fulton, NY
  • NPI 1700688827
  NPD

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

{
    "created_epoch": "1656979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656979200000",
    "number": "1528791985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8150 AVOSS LN",
            "city": "CLAY",
            "state": "NY",
            "postal_code": "130418965",
            "telephone_number": "315-640-1865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 JAMES ST STE 1",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132032661",
            "telephone_number": "315-671-2953",
            "fax_number": "315-671-2954"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8150 Avoss Ln",
            "address_purpose": "LOCATION",
            "city": "Clay",
            "state": "NY",
            "postal_code": "130418965",
            "country_code": "US",
            "telephone_number": "315-640-1865",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WASSEL",
        "first_name": "CHRISTINE",
        "middle_name": "HERNANDEZ",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-05",
        "last_updated": "2022-07-05",
        "certification_date": "2022-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "012560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katelyn Michelle Warren, MS, OTR/L
• Joshua Washer
• Tasha Diane Washington
• Zionna Washington
• Heather Lynn Wasik, MD
• Afton Marie Waters
• Helen M Waters, AUD CCCA MS BS
• Jennifer Waters, L.AC.
• Waterslight, LLC
• Alisha Marie Waterstripe, PMHNP

• Mental Health Counselor in Syracuse, NY
• Providers in Syracuse, 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 Jul 5, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.