ETHAN PERRY LMHC CASAC NPI 1124432752

NPI Information

  • NPI: 1124432752
  • Provider Name: ETHAN PERRY, LMHC, CASAC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1133 ROUTE 55
    2ND FLOOR
    LAGRANGEVILLE, NY
    ZIP 12540
  • Phone: (845) 204-3436

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NPI Details

Ethan Perry, LMHC, CASAC is a mental health counselor in Lagrangeville, NY with 18 years of experience. Ethan Perry, LMHC, CASAC NPI is 1124432752. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1133 ROUTE 55
2ND FLOOR
LAGRANGEVILLE, NY
ZIP 12540-051
Phone: (845) 204-3436
Fax: (845) 298-8000

The NPI 1124432752 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 6/11/2014 and was last updated on 8/2/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental Health18 004757NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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