Michelle Denise Raysor, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

P99242 Issued in NY

Practice address

1273 William Floyd Pkwy
Shirley, NY 11967-1810

Phone

(631) 394-1805

Fax

(631) 887-3327

NPI assigned

Oct 30, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Connecting for Purpose

  • Voluntary or Charitable Agency
  • Bellport, NY
  • NPI 1558738831
  NPD Authorized official
• Resiliency Licensed Mental Health Counseling Services, PLLC

  • Mental Health Counselor
  • Mastic Beach, NY
  • NPI 1295345296
  NPD Authorized official

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

{
    "created_epoch": "1509321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1801308804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "654 MEADE AVE",
            "city": "BELLPORT",
            "state": "NY",
            "postal_code": "117131653",
            "telephone_number": "631-394-1805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1273 WILLIAM FLOYD PKWY",
            "city": "SHIRLEY",
            "state": "NY",
            "postal_code": "119671810",
            "telephone_number": "631-394-1805",
            "fax_number": "631-887-3327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYSOR",
        "first_name": "MICHELLE",
        "middle_name": "DENISE",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-30",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "11804",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "P99242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carmen V Ramirez
• Roland Johnathan Ramkissoon, PA-C
• Darla Ramos
• Farhan Rashid
• Satpal Singh Rathour, M.D
• Stacey Beth Reeve
• Muriene Reid, RN BSN
• Robin V. Resnick, M.A.
• Ariel Yasmine Richard, LAPC
• Robert Riley, CASAC

• Mental Health Counselor in Shirley, NY
• Providers in Shirley, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.