Shannon Eastham De Ycaza, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

010379 Issued in NY

Practice address

353 Lexington Ave Suite 302
New York, NY 10016

Phone

(646) 397-0486

NPI assigned

Apr 10, 2020

Last updated

Feb 14, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1586476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644796800000",
    "number": "1841819844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 OLD KINGS HWY N STE 13",
            "city": "DARIEN",
            "state": "CT",
            "postal_code": "068204608",
            "telephone_number": "646-397-0486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 LEXINGTON AVE SUITE 302",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10016",
            "telephone_number": "646-397-0486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE YCAZA",
        "first_name": "SHANNON",
        "middle_name": "EASTHAM",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-10",
        "last_updated": "2022-02-14",
        "certification_date": "2022-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "010379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen De Vries, DO
• Alexandra De Waal, PSYD
• Deborah L. De Winter, RN, BA, IBCLC
• De Witt Rehab and Nursing Home Phcy
• Stacey Kathleen De Witt, LMSW
• Stacy Andrea De-Lin, MD
• Aditi Verma De, LMHC, LPC, MA, MED
• Marcia Olivia Deabreu, FNP
• Carol J Deacon, LCSW
• Silvana Deaguiar, PT

• Mental Health Counselor in New York, NY
• Providers in New York, 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 Feb 14, 2022; 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.