Individual provider Active NPI

Lee Mason Wasser, LMHC

  • Mental Health Counselor
  • Smithtown, NY
National Provider Identifier
1821544545
Registry record updated May 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
011036 Issued in NY
Practice address
496 Smithtown Byp Ste 203
Smithtown, NY 11787-5011
Phone
(631) 606-6173
NPI assigned
Sep 1, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2022

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 011036 NY Primary

Addresses

Primary practice location

496 Smithtown Byp Ste 203
Smithtown, NY 11787-5011

Mailing address

95 Acacia Rd
Kings Park, NY 11754-2403
Phone (631) 672-7156

Other practice location 1

95 Acacia Rd
Kings Park, NY 11754-2403
Phone (631) 672-7156

Other practice location 2

1227 Main St Ste 101
Port Jefferson, NY 11777-2227
Phone (631) 606-6173

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pathways Within Wisdom and Wellness Collaborative LLC Mental Health Current Accepting new patients

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": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652659200000",
    "number": "1821544545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 ACACIA RD",
            "city": "KINGS PARK",
            "state": "NY",
            "postal_code": "117542403",
            "telephone_number": "631-672-7156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "496 SMITHTOWN BYP STE 203",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117875011",
            "telephone_number": "631-606-6173"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "95 Acacia Rd",
            "address_purpose": "LOCATION",
            "city": "Kings Park",
            "state": "NY",
            "postal_code": "117542403",
            "country_code": "US",
            "telephone_number": "631-672-7156",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1227 Main St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Port Jefferson",
            "state": "NY",
            "postal_code": "117772227",
            "country_code": "US",
            "telephone_number": "631-606-6173",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WASSER",
        "first_name": "LEE",
        "middle_name": "MASON",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-09-01",
        "last_updated": "2022-05-16",
        "certification_date": "2022-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "011036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithtown, NY

Sources for this page

Verify at the official NPI Registry.