Jae Gil Lee

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MHC00052-A Issued in RI

Practice address

659 Sandy LN
Warwick, RI 02889-8241

Phone

(401) 441-8449

Fax

(401) 712-6578

NPI assigned

Jan 21, 2026

Sex

Male

Sole proprietor

Yes

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 RI

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

Specialty

Mental Health Counselor

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• The Holistic Heart, LLC

  • Clinical Social Worker
  • Warwick, RI
  • NPI 1740735257
  NPD (past)

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

{
    "created_epoch": "1768953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1669331856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 SPRING ST",
            "city": "NEWPORT",
            "state": "RI",
            "postal_code": "028403070",
            "telephone_number": "207-578-4104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "659 SANDY LN",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028898241",
            "telephone_number": "401-441-8449",
            "fax_number": "401-712-6578"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12 Marlborough St",
            "address_purpose": "LOCATION",
            "city": "Newport",
            "state": "RI",
            "postal_code": "028402585",
            "country_code": "US",
            "telephone_number": "207-578-4104",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "42 Spring St",
            "address_purpose": "LOCATION",
            "city": "Newport",
            "state": "RI",
            "postal_code": "028403070",
            "country_code": "US",
            "telephone_number": "207-578-4104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "JAE GIL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-01-21",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "RI",
            "license": "MHC00052-A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Leary, PT, DPT
• Mollye R Leas-Medrek
• Thomas Raymond Leddy, MD
• Chang K Lee, M.D.
• Elizabeth Avery Lee, MD
• Michael H Lee, MD
• Alpha Lefrancois, LCDP
• Legacy Home Care LLC
• Brian Lehnhof, DO
• Stacey Lehrer, MED, OTR/L

• Mental Health Counselor in Warwick, RI
• Providers in Warwick, RI by specialty
• Mental Health Counselor in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; 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.

Verify at the official NPI Registry.