Courtney Buckney, MHC-LP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

P108500 Issued in NY

Practice address

246 5TH Ave FL 3
New York, NY 10001-7608

Phone

(315) 284-0270

NPI assigned

Mar 2, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1614643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614643200000",
    "number": "1114512142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 5TH AVE FL 3",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100017608",
            "telephone_number": "315-284-0270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 5TH AVE FL 3",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100017608",
            "telephone_number": "315-284-0270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKNEY",
        "first_name": "COURTNEY",
        "credential": "MHC-LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-02",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "P108500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW YORK STATE LICENSURE BOARD",
            "identifier": "P108500",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "courtney@holisticpsychotherapynyc.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "246 5th Ave Fl 3",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100017608",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Emery Bryn Buckner-Wolfson
• Althea Buckner
• Elizabeth Buckner, LCSW
• George Buckner, LCSW
• Jeffrey Buckner, MD
• Adjoa Agyiewa Bucknor, M.D
• Sakshi Buckshey, DMD
• Michael Buckstein, MD, PHD
• Lynn M Buckvar-Keltz, M.D.
• Ellen Bucobo, PA-C

• Mental Health Counselor in New York, NY
• Providers in New York, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2021; 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.