Individual provider Active NPI

Nelson Lassalle, LMSW, CASAC

  • Mental Health Counselor
  • Poughkeepsie, NY
National Provider Identifier
1851678700
Registry record updated Nov 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
073043 Issued in NY
Practice address
27 Red Oaks Mill Road
Poughkeepsie, NY 12603-3262
Phone
(646) 671-7017
NPI assigned
Nov 7, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 17796 NY
Mental Health Counselor 101YM0800X 073043 NY Primary

Addresses

Primary practice location

27 Red Oaks Mill Road
Poughkeepsie, NY 12603-3262

Mailing address

27 Red Oaks Mill Road
Poughkeepsie, NY 12603-3262
Phone (646) 671-7017

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
17796NYMDAddiction (Substance Use Disorder) Counselor
073043NYMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1320624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320624000000",
    "number": "1851678700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 RED OAKS MILL ROAD",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126033262",
            "telephone_number": "646-671-7017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 RED OAKS MILL ROAD",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126033262",
            "telephone_number": "646-671-7017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASSALLE",
        "first_name": "NELSON",
        "name_prefix": "Mr.",
        "credential": "LMSW, CASAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-11-07",
        "last_updated": "2011-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "17796",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "073043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poughkeepsie, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2011; 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.