Southtowns Mental Health Counseling PC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

SOUTHTOWNS MENTAL HEALTH COUNSELING PC

Practice address

38 Lake St
Hamburg, NY 14075-4951

Phone

(716) 410-5390

Fax

(716) 422-9011

NPI assigned

May 24, 2021

Last updated

Feb 10, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amanda Bolin, LMHCNPI 1295418911

Title

Director

Phone

(716) 410-5390

Specialties & licenses 7

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amanda Bolin, LMHC

  • Mental Health Counselor
  • Hamburg, NY
  • NPI 1295418911
  Medicare reassignment NPD Authorized official
• Kristen Lynn Corbran

  • Counselor
  • Orchard Park, NY
  • NPI 1437656428
  Medicare reassignment NPD
• Tammy Lynn McIntyre, MA, LMHC, CASAC, QHP

  • Mental Health Counselor
  • Hamburg, NY
  • NPI 1255195145
  Medicare reassignment NPD
• Jason Shear, LMHC-P

  • Mental Health Counselor
  • Hamburg, NY
  • NPI 1386189496
  Medicare reassignment NPD
• Shelly Harris, RN

  • Registered Nurse
  • Hamburg, NY
  • NPI 1487328860
  NPD
• Michael Edward Godzala III, MD

  • Psychiatry Physician
  • Buffalo, NY
  • NPI 1215170030
  NPD (past)

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

{
    "created_epoch": "1621814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770681600000",
    "number": "1306411244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 LAKE ST",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140754951",
            "telephone_number": "716-410-5390",
            "fax_number": "716-422-9011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 LAKE ST",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140754951",
            "telephone_number": "716-410-5390",
            "fax_number": "716-422-9011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHTOWNS MENTAL HEALTH COUNSELING PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-24",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A",
        "authorized_official_last_name": "BOLIN",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "716-410-5390",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Hamburg, NY
• Providers in Hamburg, 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 Feb 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.