Organization Active NPI

Lindsay Wedell, Licensed Mental Health Counselor, PLLC

  • Mental Health Counselor
  • Patchogue, NY
National Provider Identifier
1982355871
Registry record updated Jul 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
LINDSAY WEDELL, LICENSED MENTAL HEALTH COUNSELOR, PLLC
Practice address
180 E Main St Ste 205H
Patchogue, NY 11772-3171
Phone
(631) 312-3651
NPI assigned
Jan 12, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2024

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

Authorized official

Name
Lindsay Wedell, LMHCNPI 1669970620
Title
Owner /Clinical Director
Phone
(631) 312-3651

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

180 E Main St Ste 205H
Patchogue, NY 11772-3171

Mailing address

180 E Main St Ste 205H
Patchogue, NY 11772-3171
Phone (631) 312-3651

National Provider Directory

National Provider Directory

Locations

180 E Main St
Ste 205H
Patchogue, NY 11772
Phone (631) 312-3651

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1641945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722124800000",
    "number": "1982355871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 E MAIN ST STE 205H",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117723171",
            "telephone_number": "631-312-3651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 E MAIN ST STE 205H",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117723171",
            "telephone_number": "631-312-3651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDSAY WEDELL, LICENSED MENTAL HEALTH COUNSELOR, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-12",
        "last_updated": "2024-07-28",
        "certification_date": "2024-07-28",
        "status": "A",
        "authorized_official_last_name": "WEDELL",
        "authorized_official_first_name": "LINDSAY",
        "authorized_official_title_or_position": "OWNER /CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "631-312-3651",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Patchogue, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2024; 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.