Active NPI
Megan Lynn Perioli, LMHC
- Mental Health Counselor
- Manlius, NY
National Provider Identifier
1790052017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 006471
- Practice address
- 8219 Market PL BLDG 10
Manlius, NY 13104 - Phone
- (315) 692-2008
- NPI assigned
- Dec 1, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 006471 | NY | Primary |
Addresses
Primary practice location
8219 Market PL BLDG 10
Manlius, NY 13104
Mailing address
61 N Main St
Homer, NY 13077-1117
Phone (315) 783-6986
Other practice location 1
6221 State Route 31
Suite 110
Cicero, NY 13039-8715
Phone (315) 342-9255
Other practice location 2
6221 State Route 31
Suite 110
Cicero, NY 13039-8715
Phone (315) 342-9255
Other names 1
- Ms. Megan Lynn Lortie
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006471 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Move With Me, LLC | Current | Accepting new patients | |
| Integrative Mental Health Counseling Services, PLLC | Mental Health | Past | Accepting new patients |
Locations
8219 Market Pl
Bldg 10
Manlius, NY 13104
Phone (315) 692-2008
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 and National Provider Directory roles.
-
- Counselor
- Manlius, NY
- NPI 1720542020
-
- Mental Health Counselor
- Oswego, NY
- NPI 1578740403
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569801600000",
"number": "1790052017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "61 N MAIN ST",
"city": "HOMER",
"state": "NY",
"postal_code": "130771117",
"telephone_number": "315-783-6986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8219 MARKET PL BLDG 10",
"city": "MANLIUS",
"state": "NY",
"postal_code": "13104",
"telephone_number": "315-692-2008"
}
],
"practiceLocations": [
{
"address_1": "6221 State Route 31",
"address_2": "Suite 110",
"address_purpose": "LOCATION",
"city": "Cicero",
"state": "NY",
"postal_code": "130398715",
"country_code": "US",
"telephone_number": "315-342-9255",
"fax_number": "866-323-6619",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6221 State Route 31",
"address_2": "Suite 110",
"address_purpose": "LOCATION",
"city": "Cicero",
"state": "NY",
"postal_code": "130398715",
"country_code": "US",
"telephone_number": "315-342-9255",
"fax_number": "866-323-6619",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PERIOLI",
"first_name": "MEGAN",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-12-01",
"last_updated": "2019-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "006471",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MEGAN",
"last_name": "LORTIE",
"middle_name": "LYNN",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Manlius, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.