Lee Freeman Pelletier, MA, MDIV

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1 Reid St
Fort Plain, NY 13339-1336

Phone

(518) 490-9199

Fax

(518) 309-6884

NPI assigned

Jun 13, 2023

Last updated

Jun 13, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

Practice roles

Locations

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.

• Lee Pelletier Mental Health Counseling,PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Amsterdam, NY
  • NPI 1114897014
  Medicare reassignment NPD

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

{
    "created_epoch": "1686614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686614400000",
    "number": "1992489777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 REID ST",
            "city": "FORT PLAIN",
            "state": "NY",
            "postal_code": "133391336",
            "telephone_number": "518-490-9199",
            "fax_number": "518-309-6884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 REID ST",
            "city": "FORT PLAIN",
            "state": "NY",
            "postal_code": "133391336",
            "telephone_number": "518-490-9199",
            "fax_number": "518-309-6884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELLETIER",
        "first_name": "LEE",
        "middle_name": "FREEMAN",
        "name_prefix": "Mr.",
        "credential": "MA, MDIV",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-06-13",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christy Janis Koban
• Elena Lamb
• Nitza Maynard
• Melanie Pandit
• Bhupen N Patel, RPH
• Alfonso F Pineyro, DDS
• Natasha Umeka Pollard
• Christine M Potter
• Megan Putnam, NP-BC
• Joan M. Scanlon-Dise, OTR

• Mental Health Counselor in Fort Plain, NY
• Providers in Fort Plain, 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 Jun 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.