Gorham Mental Health Counseling, PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

GORHAM MENTAL HEALTH COUNSELING, PLLC

Practice address

721 Idlewood Blvd
Baldwinsville, NY 13027-3010

Phone

(315) 559-4303

NPI assigned

Jun 19, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Jilleen E Gorham, MS LMHCNPI 1164076097

Title

Owner

Phone

(315) 559-4303

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Jilleen Elizabeth Gorham, MS, LMHC

  • Mental Health Counselor
  • Baldwinsville, NY
  • NPI 1164076097
  NPD Authorized official

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

{
    "created_epoch": "1687132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687132800000",
    "number": "1124703947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 IDLEWOOD BLVD",
            "city": "BALDWINSVILLE",
            "state": "NY",
            "postal_code": "130273010",
            "telephone_number": "315-559-4303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 IDLEWOOD BLVD",
            "city": "BALDWINSVILLE",
            "state": "NY",
            "postal_code": "130273010",
            "telephone_number": "315-559-4303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GORHAM MENTAL HEALTH COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-19",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A",
        "authorized_official_last_name": "GORHAM",
        "authorized_official_first_name": "JILLEEN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-559-4303",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS LMHC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1164076097",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christina L. Gmyr, LMHC, NCC
• Going Places Transportation and Variety, Inc
• Monika Golebiowska-Dal, PT
• Good Health
• Brian W Goodwin, PHARM.D.
• Jilleen Elizabeth Gorham, MS, LMHC
• Derek Paul Gorski, D.O.
• Kiersten Lee Grabowski, M.S. CCC-SLP
• Bethany Gratien
• Regina Gravante

• Community/Behavioral Health Agency in Baldwinsville, NY
• Providers in Baldwinsville, NY by specialty
• Community/Behavioral Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; 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.