Individual provider Active NPI

Lisa Marie Dembowski, CASAC-T

  • Addiction (Substance Use Disorder) Counselor
  • Syracuse, NY
National Provider Identifier
1770156226
Registry record updated Jul 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Practice address
319 E Water St
Syracuse, NY 13202-1123
Phone
(315) 475-1771
Fax
(315) 475-4601
NPI assigned
Jul 22, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X NY Primary

Addresses

Primary practice location

319 E Water St
Syracuse, NY 13202-1123

Mailing address

319 E Water St
Syracuse, NY 13202-1123
Phone (315) 475-1771

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL syrrec.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Syracuse Recovery Services Addiction (Substance Use Disorder) CurrentSince Jul 25, 2021 Accepting new patients

Locations

319 E Water St
Syracuse, NY 13202
Phone (315) 472-1212

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1626912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626912000000",
    "number": "1770156226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 E WATER ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132021123",
            "telephone_number": "315-475-1771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 E WATER ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132021123",
            "telephone_number": "315-475-1771",
            "fax_number": "315-475-4601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMBOWSKI",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "CASAC-T",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-22",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "syrrec.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "319 E Water St",
            "city": "Syracuse",
            "state": "NY",
            "country_code": "US",
            "postal_code": "132021123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2021; 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.