Provider Demographics
NPI:1437637634
Name:MAAS, JASON (LMHC)
Entity Type:Individual
Prefix:
First Name:JASON
Middle Name:
Last Name:MAAS
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:70 EAST SUNRISE HIGHWAY
Mailing Address - Street 2:SUITE 500 - #6266
Mailing Address - City:VALLEY STREAM
Mailing Address - State:NY
Mailing Address - Zip Code:11581
Mailing Address - Country:US
Mailing Address - Phone:631-495-7321
Mailing Address - Fax:
Practice Address - Street 1:70 EAST SUNRISE HIGHWAY
Practice Address - Street 2:SUITE 500 - #6266
Practice Address - City:VALLEY STREAM
Practice Address - State:NY
Practice Address - Zip Code:11581
Practice Address - Country:US
Practice Address - Phone:631-495-7321
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-31
Last Update Date:2022-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010586101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health