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ETHAN PERRY LMHC, CASAC
NPI 1124432752
Counselor - Mental Health in Lagrangeville, NY

Active since June 11, 2014PECOS Enrolled
1133 ROUTE 55, 2ND FLOOR, LAGRANGEVILLE, NY 12540(845) 204-3436(845) 298-8000 Get Directions Write a Review

NPPES record last updated: August 2, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ethan Perry Lmhc, Casac NPPES

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

ETHAN PERRY LMHC, CASAC (NPI 1124432752) is an individual mental health provider in Lagrangeville, New York, licensed in New York (18 004757) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1124432752
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameETHAN PERRYCredential: LMHC, CASAC
Location Address1133 ROUTE 55, 2ND FLOORLagrangeville, NY 12540-5051
Mailing Address63 Channingville Rd.Wappingers Falls, NY 12590
Phone(845) 204-3436
Fax(845) 298-8000
Sole ProprietorYes
Medical School CMSOtherGraduated 2007
Enumeration DateJune 11, 2014
Last NPPES UpdateAugust 2, 2016
✔ NPI 1124432752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NY · 18 004757
1133 ROUTE 55, Lagrangeville, NY 12540
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ethan Perry Lmhc, Casac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7911350640
PECOS Enrollment IDI20240130001864
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 2

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

MRS. KIMBERLY A O'CONNOR LCSW
Social Worker (Clinical)
1133 ROUTE 55, STE 2
LAGRANGEVILLE, NY 12540
Dutchess County (914) 456-9637
DAWN TREE NURSE PRACTITIONER IN PSYCHIATRY, PLLC
Nurse Practitioner (Psychiatric/Mental Health)
1133 ROUTE 55, C/O ADVANCED CLINICIAN SUPPORT SERVICES, INC
LAGRANGEVILLE, NY 12540
Dutchess County (845) 594-8370

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 Ethan Perry's NPI number?

The NPI number for Ethan Perry is 1124432752. It was assigned to this individual provider in the NPPES registry on June 11, 2014.

Where is Ethan Perry located?

Ethan Perry practices at 1133 Route 55 2nd Floor, Lagrangeville, NY 12540. The listed phone number is (845) 204-3436.

What is Ethan Perry's specialty?

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

Is Ethan Perry enrolled in Medicare?

Yes. Ethan Perry is registered in the Medicare PECOS enrollment system.

What insurance does Ethan Perry accept?

Health plans from Providence Health Plan list Ethan Perry as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ethan Perry was last updated on August 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.