Soo-Il Lee Mental Health Counseling, P.C.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

SOO-IL LEE MENTAL HEALTH COUNSELING, P.C.

Practice address

22016 Union Tpke
Oakland Gardens, NY 11364-3543

Phone

(516) 395-8706

NPI assigned

Mar 29, 2021

Last updated

Mar 29, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Soo-Il Lee, LMHCNPI 1386883585

Title

President/Director

Phone

(516) 395-8706

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Soo-Il Lee, PH.D., CTRS, LMHC

  • Mental Health Counselor
  • Bronx, NY
  • NPI 1386883585
  NPD Authorized official

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

{
    "created_epoch": "1616976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616976000000",
    "number": "1811574395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 WILLOW LN",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115807020",
            "telephone_number": "516-395-8706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22016 UNION TPKE",
            "city": "OAKLAND GARDENS",
            "state": "NY",
            "postal_code": "113643543",
            "telephone_number": "516-395-8706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOO-IL LEE MENTAL HEALTH COUNSELING, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-29",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "SOO-IL",
        "authorized_official_title_or_position": "PRESIDENT/DIRECTOR",
        "authorized_official_telephone_number": "516-395-8706",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Oakland Gardens, NY
• Providers in Oakland Gardens, 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 Mar 29, 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.