Individual provider Active NPI

Zachery Sargent, LMHC

  • Mental Health Counselor
  • Hilton, NY
National Provider Identifier
1083358352
Registry record updated Apr 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
012110-01 Issued in NY
Practice address
100 Old Hojack LN
Hilton, NY 14468-1100
Phone
(585) 409-3858
NPI assigned
Apr 23, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 012110-01 NY Primary

Addresses

Primary practice location

100 Old Hojack LN
Hilton, NY 14468-1100

Mailing address

100 Old Hojack LN
Hilton, NY 14468-1100
Phone (585) 409-3858

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240911002054 NY Practitioner - Mental Health Counselor 3375083876 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

100 Old Hojack LN
Hilton, NY 14468-1100
Phone (585) 431-6696

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
012110-01NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
In Your Own Way LLC Mental Health CurrentSince Jun 25, 2024 Accepting new patients

Locations

100 Old Hojack Ln
Hilton, NY 14468
Phone (585) 409-3858

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1650672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650672000000",
    "number": "1083358352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 OLD HOJACK LN",
            "city": "HILTON",
            "state": "NY",
            "postal_code": "144681100",
            "telephone_number": "585-409-3858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 OLD HOJACK LN",
            "city": "HILTON",
            "state": "NY",
            "postal_code": "144681100",
            "telephone_number": "585-409-3858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARGENT",
        "first_name": "ZACHERY",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-04-23",
        "last_updated": "2022-04-23",
        "certification_date": "2022-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "012110-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilton, NY

Sources for this page

Verify at the official NPI Registry.