Individual provider Active NPI

Shakeena B Lee, MSW, LSW

  • Mental Health Counselor
  • Williamsport, PA
National Provider Identifier
1861118010
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
SW137132 Issued in PA
Practice address
800 W 4TH St Ste G01
Williamsport, PA 17701-7201
Phone
(570) 322-0520
NPI assigned
Oct 18, 2022
Last updated
Sep 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X SWL137132 PA
Social Worker 104100000X SW137132 PA
Mental Health Counselor 101YM0800X SW137132 PA Primary

Addresses

Primary practice location

800 W 4TH St Ste G01
Williamsport, PA 17701-7201

Mailing address

1341 E 3Rd St
Williamsport, PA 17701-5409
Phone (570) 601-4325

Other practice location 1

1341 E 3rd St
Williamsport, PA 17701-5409
Phone (570) 601-4325 ext. 00787

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address shakeena@rad-wellgroup.org Direct
Direct Messaging Address slee@firetree.com Direct

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
SWL137132PAMDAddiction (Substance Use Disorder) Counselor
SW137132PAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jamie Plocinski LCSW Mental Health CurrentSince Oct 1, 2022 Accepting new patients
Radiance Wellness Group LLC Mental Health CurrentSince Oct 1, 2022 Accepting new patients
Genesis House, Inc PastSince Nov 8, 2025 Accepting new patients
Genesis House, Inc Addiction (Substance Use Disorder) PastSince Nov 8, 2025 Accepting new patients
Genesis House, Inc Addiction (Substance Use Disorder) Past Accepting new patients

Locations

953 Market St
Williamsport, PA 17701
Phone (570) 601-4325

Organizations & group practices 5

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": "1666051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758153600000",
    "number": "1861118010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1341 E 3RD ST",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177015409",
            "telephone_number": "570-601-4325",
            "fax_number": "570-866-3141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W 4TH ST STE G01",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177017201",
            "telephone_number": "570-322-0520"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1341 E 3rd St",
            "address_purpose": "LOCATION",
            "city": "Williamsport",
            "state": "PA",
            "postal_code": "177015409",
            "country_code": "US",
            "telephone_number": "570-601-4325 x00787",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "SHAKEENA",
        "middle_name": "B",
        "credential": "MSW, LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-18",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "PA",
            "license": "SWL137132",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW137132",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "SW137132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shakeena@rad-wellgroup.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "953 Market St",
            "city": "Williamsport",
            "state": "PA",
            "country_code": "US",
            "postal_code": "177013448",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "slee@firetree.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "800 W 4th St Ste G01",
            "city": "Williamsport",
            "state": "PA",
            "country_code": "US",
            "postal_code": "177017201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Williamsport, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2025; 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.