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MR. BRANDON MICHAEL LEE LSW
NPI 1093453367
Counselor - Mental Health in Nutley, NJ

Active since May 25, 2022PECOS Enrolled
169 CHESTNUT ST, NUTLEY, NJ 07110(973) 667-1884 Get Directions Write a Review

NPPES record last updated: May 25, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Brandon Michael Lee Lsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. BRANDON MICHAEL LEE LSW (NPI 1093453367) is an individual mental health provider in Nutley, New Jersey and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1093453367
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. BRANDON MICHAEL LEECredential: LSW
Location Address169 CHESTNUT STNutley, NJ 07110-2311
Mailing Address1806 Hamilton StBelleville, NJ 07109-5348 · (551) 427-8462
Phone(973) 667-1884
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateMay 25, 2022
NPPES CertifiedMay 25, 2022
✔ NPI 1093453367 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
169 CHESTNUT ST, Nutley, NJ 07110
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Brandon Michael Lee Lsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4880180942
PECOS Enrollment IDI20251229001949
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. KRISTEN ELIZABETH PETULLO LCSW
Social Worker (Clinical)
169 CHESTNUT ST
NUTLEY, NJ 07110
Essex County (973) 951-2326
BARBARA BOUSI NJUGUNA FNP
Nurse Practitioner (Psychiatric/Mental Health)
169 CHESTNUT ST
NUTLEY, NJ 07110
Essex County (973) 667-1884
CHARLOTTE MOORE LAC
Counselor (Mental Health)
169 CHESTNUT ST
NUTLEY, NJ 07110
Essex County (973) 667-1884
IRENE GARCIA
Social Worker (Clinical)
169 CHESTNUT ST
NUTLEY, NJ 07110
Essex County (973) 667-1884
ANGELA VIVAR
Social Worker
169 CHESTNUT ST
NUTLEY, NJ 07110
Essex County (973) 667-1884
ANDREAS GRAHAM LAC
Counselor (Mental Health)
169 CHESTNUT ST
NUTLEY, NJ 07110
Essex County (973) 667-1884
JESSICA MICHEL KARGER LSW
Social Worker (Clinical)
169 CHESTNUT ST
NUTLEY, NJ 07110
Essex County (973) 667-1884
ASHLEY MICHELLE NUNEZ
Social Worker
169 CHESTNUT ST
NUTLEY, NJ 07110
Essex County (973) 542-8276

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brandon Lee's NPI number?

The NPI number for Brandon Lee is 1093453367. It was assigned to this individual provider in the NPPES registry on May 25, 2022.

Where is Brandon Lee located?

Brandon Lee practices at 169 Chestnut St, Nutley, NJ 07110. The listed phone number is (973) 667-1884.

What is Brandon Lee's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Brandon Lee enrolled in Medicare?

Yes. Brandon Lee is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Brandon Lee was last updated on May 25, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.