Active NPI
Masae Akasofu
- Professional Counselor
- Middletown, NY
National Provider Identifier
1720476153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 007626
- 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, 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 |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P91990 | NY | MD | Clinical Social Worker |
| 007626 | NY | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Access: Supports for Living Inc | Current | Accepting new patients | |
| Access: Supports for Living Inc. | Current | 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.
-
- Multi-Specialty Clinic/Center
- Middletown, NY
- NPI 1528174976
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Middletown, NY
- NPI 1790326320
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.