Lynette M Palacio, CASAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

7651 Issued in NY

Practice address

880 Bergen St
Brooklyn, NY 11238-3301

Phone

(718) 613-7510

Fax

(718) 613-7564

NPI assigned

Apr 20, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Lynette M Wynter Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1618876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1720669708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 HARRISON ST APT 23H",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100130657",
            "telephone_number": "347-225-3138",
            "fax_number": "718-613-7564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 BERGEN ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112383301",
            "telephone_number": "718-613-7510",
            "fax_number": "718-613-7564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALACIO",
        "first_name": "LYNETTE",
        "middle_name": "M",
        "credential": "CASAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-20",
        "last_updated": "2026-08-24",
        "certification_date": "2021-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "7651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYNETTE",
            "last_name": "WYNTER",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sanjaikrishna Pakkirisamy Kannan, M.B.B.S.
• Kruawan - Paksaichol, M.D.
• Rohit Pal, DO
• Pala Community Care LLC
• Mordechai Palace
• Ruti Palacio
• Fernando Palacios Jr., NP
• Jennifer B Palacios, FNP
• Veronica Elizabeth Palacios
• Joanna Michele Paladino, CCC-SLP, TSSLD

• Addiction (Substance Use Disorder) Counselor in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Addiction (Substance Use Disorder) Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.