Individual provider Active NPI

Racene R Lawes, LMHC

  • Mental Health Counselor
  • Delmar, NY
National Provider Identifier
1801353768
Registry record updated Dec 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0088461 Issued in NY
Practice address
196 Delaware Ave
Delmar, NY 12054-1230
Phone
(518) 439-0033
Fax
(518) 439-7167
NPI assigned
Feb 27, 2019
Last updated
Dec 29, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0088461 NY Primary

Addresses

Primary practice location

196 Delaware Ave
Delmar, NY 12054-1230

Mailing address

196 Delaware Ave
Delmar, NY 12054-1230
Phone (518) 439-0033

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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0088461NYMDMental Health Counselor
9125SCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Brian L. Fast, Psy.D. and Stephen P. Greggo, Psy.D, Psychologists, P.C CurrentSince Jan 3, 2021 Accepting new patients
Oceanic Counseling Group LLC Mental Health CurrentSince Apr 18, 2024 Accepting new patients
Cca Wellness Network Ipa LLC CurrentSince Oct 24, 2021 Accepting new patients
Oceanic Psychiatric Medicine PastSince Apr 6, 2023 Accepting new patients

Locations

11947 Grandhaven Dr
Ste N
Murrells Inlt, SC 29576
Phone (843) 652-4600

1304 Professional Dr
Ste E
Myrtle Beach, SC 29577

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1551225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609200000000",
    "number": "1801353768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 DELAWARE AVE",
            "city": "DELMAR",
            "state": "NY",
            "postal_code": "120541230",
            "telephone_number": "518-439-0033",
            "fax_number": "518-439-7167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "196 DELAWARE AVE",
            "city": "DELMAR",
            "state": "NY",
            "postal_code": "120541230",
            "telephone_number": "518-439-0033",
            "fax_number": "518-439-7167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWES",
        "first_name": "RACENE",
        "middle_name": "R",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-27",
        "last_updated": "2020-12-29",
        "certification_date": "2020-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "0088461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delmar, NY

Sources for this page

Verify at the official NPI Registry.