JASON OTTERBECK CASAC-T
NPI 1467094078
Counselor in Middle Island, NY

Q: What is Jason Otterbeck's NPI number?

The NPI number for Jason Otterbeck is 1467094078. It was assigned to this individual provider in the NPPES registry on October 15, 2019.

Q: What is Jason Otterbeck's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Jason Otterbeck was last updated on October 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since October 15, 2019

6 MIDDLE COUNTRY RD, MIDDLE ISLAND, NY 11953(631) 946-6060(631) 946-6063 Get Directions Write a Review

NPPES record last updated: October 15, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jason Otterbeck Casac-t NPPES

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

JASON OTTERBECK CASAC-T (NPI 1467094078) is an individual counselor in Middle Island, New York, licensed in New York (34592) and active in the NPI registry since October 2019.

NPPES Registry Identity

NPI1467094078

Entity TypeIndividualMale

Primary Taxonomy101Y00000X

Provider Legal NameJASON OTTERBECKCredential: CASAC-T

Location Address6 MIDDLE COUNTRY RDMiddle Island, NY 11953-2516

Mailing Address6 Middle Country RdMiddle Island, NY 11953-2516 · (631) 946-6060 · Fax (631) 946-6063

Phone(631) 946-6060

Fax(631) 946-6063

Sole ProprietorYes

Enumeration DateOctober 15, 2019

✔ NPI 1467094078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in NY · 34592

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

6 MIDDLE COUNTRY RD, Middle Island, NY 11953

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

JENNIFER TESTA CASAC-T

Counselor

6 MIDDLE COUNTRY RD
MIDDLE ISLAND, NY 11953

Suffolk County (631) 946-6060

JUSTIN PLEASANT CASAC-T

Counselor

6 MIDDLE COUNTRY RD
MIDDLE ISLAND, NY 11953

Suffolk County (631) 946-6060

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 Jason Otterbeck's NPI number?

The NPI number for Jason Otterbeck is 1467094078. It was assigned to this individual provider in the NPPES registry on October 15, 2019.

Where is Jason Otterbeck located?

Jason Otterbeck practices at 6 Middle Country Rd, Middle Island, NY 11953. The listed phone number is (631) 946-6060.

What is Jason Otterbeck's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Jason Otterbeck was last updated on October 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.