ELIZABETH DISSIN LMHC
NPI 1134518822
Counselor - Mental Health in Ithaca, NY

Active since January 18, 2015PECOS Enrolled
127 W STATE ST, ITHACA, NY 14850(607) 273-7494 Get Directions Write a Review

NPPES record last updated: August 1, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Elizabeth Dissin Lmhc NPPES

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

ELIZABETH DISSIN LMHC (NPI 1134518822) is an individual mental health provider in Ithaca, New York and active in the NPI registry since January 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1134518822
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameELIZABETH DISSINCredential: LMHC
Location Address127 W STATE STIthaca, NY 14850-5474
Mailing Address127 W State StIthaca, NY 14850-5474 · (607) 220-4685
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateJanuary 18, 2015
Last NPPES UpdateAugust 1, 2024
NPPES CertifiedAugust 1, 2024
NPI 1134518822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
127 W STATE ST, Ithaca, NY 14850

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Elizabeth Dissin Lmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7810330750
PECOS Enrollment IDI20240208000773
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 20

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

Social Worker (Clinical)
127 W STATE ST
ITHACA, NY 14850
Psychologist (Clinical)
127 W STATE ST
ITHACA, NY 14850
Social Worker (Clinical)
127 W STATE ST
ITHACA, NY 14850
Social Worker (Clinical)
127 W STATE ST
ITHACA, NY 14850
Social Worker
127 W STATE ST
ITHACA, NY 14850
Social Worker
127 W STATE ST
ITHACA, NY 14850
Social Worker (Clinical)
127 W STATE ST
ITHACA, NY 14850
Social Worker
127 W STATE ST
ITHACA, NY 14850

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1134518822, enumerated as an "individual" on January 18, 2015.

The provider is located at 127 W STATE ST ITHACA, NY 14850 and the phone number is (607) 273-7494.

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.