Individual provider Active NPI

Masae Akasofu

  • Professional Counselor
  • Middletown, NY
National Provider Identifier
1720476153
Registry record updated Nov 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
007626 Issued in NY
Practice address
15 Fortune Road
Middletown, NY 10941-2005
Phone
(845) 240-7707
Fax
(845) 337-3678
NPI assigned
Jan 8, 2015
Last updated
Nov 21, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 007626 NY Primary
Clinical Social Worker 1041C0700X P91990 NY

Addresses

Primary practice location

15 Fortune Road
Middletown, NY 10941-2005

Mailing address

29 N Hamilton St
Poughkeepsie, NY 12601-2541
Phone (845) 452-3387

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P91990NYMDClinical Social Worker
007626NYMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Access: Supports for Living Inc CurrentSince Jan 1, 2024 Accepting new patients
Access: Supports for Living Inc. CurrentSince Jan 1, 2024 Accepting new patients

Locations

21 Grand St
Newburgh, NY 12550
Phone (845) 562-7244

67 Windsor Hwy
Newburgh, NY 12553
Phone (845) 562-6850

15 Fortune Rd W
Scotchtown, NY 10941
Phone (845) 673-7123

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1420675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574294400000",
    "number": "1720476153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 N HAMILTON ST",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126012541",
            "telephone_number": "845-452-3387",
            "fax_number": "845-452-3682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 FORTUNE ROAD",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109412005",
            "telephone_number": "845-240-7707",
            "fax_number": "845-337-3678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKASOFU",
        "first_name": "MASAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-08",
        "last_updated": "2019-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NY",
            "license": "007626",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "P91990",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, NY

Sources for this page

Verify at the official NPI Registry.