JACOB LOGAN WASSERMAN LMHC
NPI 1447977251
Counselor - Mental Health in Salt Point, NY

Q: What is Jacob Wasserman's NPI number?

The NPI number for Jacob Wasserman is 1447977251. It was assigned to this individual provider in the NPPES registry on October 24, 2022.

Q: What is Jacob Wasserman's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jacob Wasserman was last updated on May 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.

Active since October 24, 2022PECOS Enrolled

2510 ROUTE 44 STE F, SALT POINT, NY 12578(845) 768-3178(845) 622-3636 Get Directions Write a Review

NPPES record last updated: May 15, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 15, 2026, Apr 7, 2026, Sep 20, 2024 and 1 more (4 updates tracked since 2022).

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About Jacob Logan Wasserman Lmhc NPPES

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

JACOB LOGAN WASSERMAN LMHC (NPI 1447977251) is an individual mental health provider in Salt Point, New York, licensed in New York (017772) and active in the NPI registry since October 2022. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1447977251

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameJACOB LOGAN WASSERMANCredential: LMHC

Location Address2510 ROUTE 44 STE FSalt Point, NY 12578-8040

Mailing Address10 Dutton Rd Apt A210Poughkeepsie, NY 12601-2089 · (603) 969-4696

Phone(845) 768-3178

Fax(845) 622-3636

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateOctober 24, 2022

Last NPPES UpdateMay 15, 20264 updates tracked since enumeration

NPPES CertifiedMay 15, 2026

✔ NPI 1447977251 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 · 017772

2510 ROUTE 44 STE F, Salt Point, NY 12578

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Secondary Practice Locations 2

Location 11068 Main StFishkill, NY 12524-3664 · Phone (845) 242-2466

Location 2695 Dutchess Tpke Ste 201Poughkeepsie, NY 12603-6443 · Phone (845) 202-3409

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacob Logan Wasserman Lmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3870064751

PECOS Enrollment IDI20260602003030

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 5

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

JACQUELYN ELBEL PHD

Psychologist (Clinical)