Individual provider Active NPI

Kathryn M Wilson, MS, LMHC

  • Mental Health Counselor
  • Ossining, NY
National Provider Identifier
1174959647
Registry record updated Mar 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
007608 Issued in NY
Practice address
70 Croton Ave Apt 1L
Ossining, NY 10562-7907
Phone
(631) 965-0847
NPI assigned
Sep 17, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Mental Health Counselor 101YM0800X 007608 NY Primary

Addresses

Primary practice location

70 Croton Ave Apt 1L
Ossining, NY 10562-7907

Mailing address

70 Croton Ave Apt 1L
Ossining, NY 10562-7907
Phone (631) 965-0847

Other names 1

  • Kathryn M Hamilton Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Theraplatform Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
007608NYMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1379376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585612800000",
    "number": "1174959647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 CROTON AVE APT 1L",
            "city": "OSSINING",
            "state": "NY",
            "postal_code": "105627907",
            "telephone_number": "631-965-0847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 CROTON AVE APT 1L",
            "city": "OSSINING",
            "state": "NY",
            "postal_code": "105627907",
            "telephone_number": "631-965-0847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "KATHRYN",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "MS, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-17",
        "last_updated": "2020-03-31",
        "certification_date": "2020-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "007608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Theraplatform",
            "affiliation": "N",
            "endpointDescription": "HIPPA compliant EHR and video conferencing",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "70 Croton Ave Apt 1L",
            "city": "Ossining",
            "state": "NY",
            "country_code": "US",
            "postal_code": "105627907",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "HAMILTON",
            "middle_name": "M",
            "credential": "MS, LMHC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ossining, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.