Grace Shilliff, LMHC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

006443 Issued in NY

Practice address

12 S Main St
Homer, NY 13077-1327

Phone

(607) 749-9256

NPI assigned

Sep 2, 2011

Last updated

Mar 24, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Grace Burvee Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1314921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458777600000",
    "number": "1295016327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5543 STATE ROUTE 281",
            "city": "HOMER",
            "state": "NY",
            "postal_code": "130779704",
            "telephone_number": "607-749-9256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 S MAIN ST",
            "city": "HOMER",
            "state": "NY",
            "postal_code": "130771327",
            "telephone_number": "607-749-9256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHILLIFF",
        "first_name": "GRACE",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-02",
        "last_updated": "2016-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NY",
            "license": "006443",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1336163963",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GRACE",
            "last_name": "BURVEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Counselor in Homer, NY
• Providers in Homer, NY by specialty
• Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2016; 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.