Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ethan Perry, LMHC, CASAC

Individual provider Mental Health Counselor · NPI 1124432752

Ethan Perry, LMHC, CASAC is a Mental Health Counselor in Lagrangeville, New York. Qualified in 2007, 19 years ago. Practices as a sole proprietor. Licensed in New York.

Years since qualifying
19
Licensed in
NY
In the registry since
2014
What do these letters mean?
LMHC — Licensed Mental Health Counselor
A licensed mental health counsellor; the title used in Florida, New York and Washington among others.

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Practice location Address checks out

1133 Route 55 2nd Fl
Lagrangeville, NY 12540-5051
Phone: (845) 204-3436
Fax: (845) 298-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 18 004757 (NY)

Record details

NPI number1124432752
Entity typeIndividual (Type 1)
GenderMale
Credentials LMHC , CASAC
Sole proprietorYes
NPI enumeratedJune 11, 2014
Last updated in NPPESAugust 2, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Accepts Medicare assignment Not indicated

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