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JAE GIL LEE
NPI 1669331856
Counselor - Mental Health in Warwick, RI

Active since January 21, 2026PECOS Enrolled
659 SANDY LN, WARWICK, RI 02889(401) 441-8449(401) 712-6578 Get Directions Write a Review

NPPES record last updated: April 21, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 21, 2026, Jan 21, 2026 (2 updates tracked since 2026).

About Jae Gil Lee NPPES

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

JAE GIL LEE (NPI 1669331856) is an individual mental health provider in Warwick, Rhode Island, licensed in Rhode Island (MHC00052-A) and active in the NPI registry since January 2026. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1669331856
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJAE GIL LEE
Location Address659 SANDY LNWarwick, RI 02889-8241
Mailing Address42 Spring StNewport, RI 02840-3070 · (207) 578-4104
Phone(401) 441-8449
Fax(401) 712-6578
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateJanuary 21, 2026
Last NPPES UpdateApril 21, 20262 updates tracked since enumeration
NPPES CertifiedApril 21, 2026
✔ NPI 1669331856 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 RI · MHC00052-A
659 SANDY LN, Warwick, RI 02889
Open in Google Maps ↗

Secondary Practice Locations 2

Location 112 Marlborough StNewport, RI 02840-2585 · Phone (207) 578-4104
Location 242 Spring StNewport, RI 02840-3070 · Phone (207) 578-4104

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jae Gil Lee is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5092281022
PECOS Enrollment IDI20260417000477
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 8

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

MADISON ANDRADE
Counselor (Mental Health)
659 SANDY LN
WARWICK, RI 02889
Kent County (401) 441-8449
ERIKA LUCAS MHC-A
Counselor (Mental Health)
659 SANDY LN
WARWICK, RI 02889
Kent County (401) 441-8449
KAYLEAH PENSALFINI
Counselor (Mental Health)
659 SANDY LN
WARWICK, RI 02889
Kent County (401) 441-8449
MELISSA WAKELY LMHC
Community/Behavioral Health
659 SANDY LN
WARWICK, RI 02889
Kent County (860) 436-8560
KRISTEN JEANNE ACCIARI LICSW
Social Worker (Clinical)
659 SANDY LN
WARWICK, RI 02889
Kent County (401) 441-8449
CLAIRE ROBINSON LICSW
Social Worker (Clinical)
659 SANDY LN
WARWICK, RI 02889
Kent County (401) 441-8449
THE HOLISTIC HEART, LLC
Social Worker (Clinical)
659 SANDY LN
WARWICK, RI 02889
Kent County (401) 441-8449
SAMANTHA LEIGH KNIGHT
Counselor (Mental Health)
659 SANDY LN
WARWICK, RI 02889
Kent County (401) 441-8449

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 Jae Gil Lee's NPI number?

The NPI number for Jae Gil Lee is 1669331856. It was assigned to this individual provider in the NPPES registry on January 21, 2026.

Where is Jae Gil Lee located?

Jae Gil Lee practices at 659 Sandy Ln, Warwick, RI 02889. The listed phone number is (401) 441-8449.

What is Jae Gil Lee's specialty?

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

Is Jae Gil Lee enrolled in Medicare?

Yes. Jae Gil Lee is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jae Gil Lee was last updated on April 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.