NPIMap

Organization Active NPI

Unified Mental Health Counseling Services PLLC

  • Mental Health Counselor
  • Spencerport, NY
National Provider Identifier
1073133187
Registry record updated Apr 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
UNIFIED MENTAL HEALTH COUNSELING SERVICES PLLC
Practice address
12 Amity St
Spencerport, NY 14559-1350
Phone
(585) 329-7853
Fax
(585) 486-7011
NPI assigned
Apr 18, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Tamara K Sullivan, PHD, LMHC
Title
Director
Phone
(585) 329-7853

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

12 Amity St
Spencerport, NY 14559-1350

Mailing address

6881 4TH Section Rd
Brockport, NY 14420-2412
Phone (585) 329-7853

National Provider Directory

National Provider Directory

Locations

12 Amity St
Spencerport, NY 14559
Phone (585) 329-7853

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1587168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587168000000",
    "number": "1073133187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6881 4TH SECTION RD",
            "city": "BROCKPORT",
            "state": "NY",
            "postal_code": "144202412",
            "telephone_number": "585-329-7853",
            "fax_number": "585-486-7011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 AMITY ST",
            "city": "SPENCERPORT",
            "state": "NY",
            "postal_code": "145591350",
            "telephone_number": "585-329-7853",
            "fax_number": "585-486-7011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIFIED MENTAL HEALTH COUNSELING SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-18",
        "last_updated": "2020-04-18",
        "certification_date": "2020-04-18",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "585-329-7853",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spencerport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.