Active NPI
Myrna Hill, M.S., LMHC, NCC, ACS
- Mental Health Counselor
- Fairport, NY
National Provider Identifier
1326116765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 001963
- Practice address
- 760 Perinton Hills Office Park
Fairport, NY 14450-3615 - Phone
- (585) 223-5920
- Fax
- (585) 223-5727
- NPI assigned
- Dec 2, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 001963 | NY | Primary |
Addresses
Primary practice location
760 Perinton Hills Office Park
Fairport, NY 14450-3615
Mailing address
23 Smethwick CT
Pittsford, NY 14534-9789
Phone (585) 586-2112
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 7, 2024 through Mar 7, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001963 | NY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1326116765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 SMETHWICK CT",
"city": "PITTSFORD",
"state": "NY",
"postal_code": "145349789",
"telephone_number": "585-586-2112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "760 PERINTON HILLS OFFICE PARK",
"city": "FAIRPORT",
"state": "NY",
"postal_code": "144503615",
"telephone_number": "585-223-5920",
"fax_number": "585-223-5727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILL",
"first_name": "MYRNA",
"name_prefix": "Ms.",
"credential": "M.S., LMHC, NCC, ACS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "001963",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.