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

Raegan Distasio

Individual provider Mental Health Counselor · NPI 1851143473

Raegan Distasio is a Mental Health Counselor in Syracuse, New York. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

1045 James St Ste 100
Syracuse, NY 13203-2758
Phone: (315) 472-4471
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1851143473
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 5, 2024
Last updated in NPPESApril 5, 2024
Certification dateApril 5, 2024

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