MR. LEE FREEMAN PELLETIER MA, MDIV
NPI 1992489777
Counselor - Mental Health in Fort Plain, NY

Active since June 13, 2023PECOS Enrolled
1 REID ST, FORT PLAIN, NY 13339(518) 490-9199(518) 309-6884 Get Directions Write a Review

NPPES record last updated: June 13, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mr. Lee Freeman Pelletier Ma, Mdiv NPPES

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

MR. LEE FREEMAN PELLETIER MA, MDIV (NPI 1992489777) is an individual mental health provider in Fort Plain, New York and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1992489777
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. LEE FREEMAN PELLETIERCredential: MA, MDIV
Location Address1 REID STFort Plain, NY 13339-1336
Mailing Address1 Reid StFort Plain, NY 13339-1336 · (518) 490-9199 · Fax (518) 309-6884
Fax(518) 309-6884
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateJune 13, 2023
NPPES CertifiedJune 13, 2023
✔ NPI 1992489777 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1 REID ST, Fort Plain, NY 13339

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Lee Freeman Pelletier Ma, Mdiv is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6204304611
PECOS Enrollment IDI20260505000383, I20260505000623
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.

Medicare Billing Reassignment

Medicare enrollment records show Lee Pelletier reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health (Including Community Mental Health Center)
2 GUY PARK AVE
Amsterdam, NY 12010
  • Reassigned Medicare billing, New York enrollment

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Lee Pelletier's NPI number?

The NPI number for Lee Pelletier is 1992489777. It was assigned to this individual provider in the NPPES registry on June 13, 2023.

Where is Lee Pelletier located?

Lee Pelletier practices at 1 Reid St, Fort Plain, NY 13339. The listed phone number is (518) 490-9199.

What is Lee Pelletier's specialty?

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

Is Lee Pelletier enrolled in Medicare?

Yes. Lee Pelletier is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Lee Pelletier's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lee Pelletier reassigns Medicare benefits to Lee Pelletier Mental Health Counseling,pllc (Amsterdam, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lee Pelletier's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Lee Pelletier was last updated on June 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.