Individual provider Active NPI

Katherine A Hamdan, MA

  • Mental Health Counselor
  • Amityville, NY
National Provider Identifier
1215526702
Registry record updated Jan 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
010826 Issued in NY
Practice address
157 Jefferson Ave
Amityville, NY 11701-2325
Phone
(423) 507-7910
NPI assigned
Jan 11, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2021

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 010826 NY Primary

Addresses

Primary practice location

157 Jefferson Ave
Amityville, NY 11701-2325

Mailing address

157 Jefferson Ave
Amityville, NY 11701-2325
Phone (423) 507-7910

Other names 1

  • Katherine A Livi Former name

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
I20250603002924 NY Practitioner - Mental Health Counselor 4880103688 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8412 Moss Oak TRL
Liverpool, NY 13090-1111
Phone (315) 944-1868

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Moving Mountains Mental Health Counseling PLLC Mental Health CurrentSince Apr 1, 2025 Accepting new patients
Teladoc Health Medical Group, P.a. Mental Health Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: katherinehamdan@tdh.allscriptsdirect.net

Organizations & group practices 2

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": "1610323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610323200000",
    "number": "1215526702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 JEFFERSON AVE",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117012325",
            "telephone_number": "423-507-7910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 JEFFERSON AVE",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117012325",
            "telephone_number": "423-507-7910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMDAN",
        "first_name": "KATHERINE",
        "middle_name": "A",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-11",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "010826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "LIVI",
            "middle_name": "A",
            "credential": "MA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Amityville, NY

Sources for this page

Verify at the official NPI Registry.