Garren Gillum, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

012565 Issued in NY

Practice address

680 Davison Rd
Lockport, NY 14094-5338

Phone

(716) 302-3200

NPI assigned

Aug 19, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Woodbridge Nurse Practitioner in Psychiatry PLLC

  • Adult Mental Health Clinic/Center
  • Lockport, NY
  • NPI 1780168732
  NPD

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

{
    "created_epoch": "1660867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660867200000",
    "number": "1326766841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 DAVISON RD",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140945338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 DAVISON RD",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140945338",
            "telephone_number": "716-302-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLUM",
        "first_name": "GARREN",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-19",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "012565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Giangregorio
• Susan Giardino, NP
• Myrla Carolyn Gibbons Doxey, MA LMFT
• Jasmeet Gill, M.D.
• Jessica Lynn Gill, PA
• Erin Gilmore, D.M.D.
• Eleanor Mae Gleason, PMHNP-BC
• Zach Glowacki
• Paige E Glynn, LCSWR
• Amina Golden-Arabaty

• Mental Health Counselor in Lockport, NY
• Providers in Lockport, 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 Aug 19, 2022; 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.