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

Jae Gil Lee

Individual provider Mental Health Counselor · NPI 1669331856

Jae Gil Lee is a Mental Health Counselor in Warwick, Rhode Island. Qualified in 2022, 4 years ago. Practices as a sole proprietor and works from 3 locations. Licensed in Rhode Island.

Years since qualifying
4
Licensed in
RI
In the registry since
2026
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Practice location Address checks out

659 Sandy Ln
Warwick, RI 02889-8241
Phone: (401) 441-8449
Fax: (401) 712-6578
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 12 Marlborough St, Newport, RI 02840-2585 — (207) 578-4104
  • 42 Spring St, Newport, RI 02840-3070 — (207) 578-4104

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence MHC00052-A (RI)

Record details

NPI number1669331856
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 21, 2026
Last updated in NPPESApril 21, 2026
Certification dateApril 21, 2026
Mailing address42 Spring St, Newport, RI 02840-3070

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

Other providers in Warwick