Individual provider Active NPI

Ian Matthew Winsome, LMHC

  • Mental Health Counselor
  • Plattsburgh, NY
National Provider Identifier
1427711407
Registry record updated Jun 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
014140 Issued in NY
Practice address
5114 N Catherine St
Plattsburgh, NY 12901-3380
Phone
(518) 227-0294
NPI assigned
Oct 18, 2021
Last updated
Jun 5, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2026

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 014140 NY Primary

Addresses

Primary practice location

5114 N Catherine St
Plattsburgh, NY 12901-3380

Mailing address

5114 N Catherine St
Plattsburgh, NY 12901-3380
Phone (518) 954-9381

Other names 1

  • Mr. Ian Matthew Walz 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
I20240122002572 NY Practitioner - Mental Health Counselor 8527410901 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Health Services North, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Behavioral Health Services North, Inc. CurrentSince Jan 1, 2024 Accepting new patients

Locations

2155 State Route 22B
Morrisonville, NY 12962
Phone (518) 562-3847

22 US Oval
Ste 218
Plattsburgh, NY 12903
Phone (518) 563-8206

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1634515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780617600000",
    "number": "1427711407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5114 N CATHERINE ST",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129013380",
            "telephone_number": "518-954-9381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5114 N CATHERINE ST",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129013380",
            "telephone_number": "518-227-0294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINSOME",
        "first_name": "IAN",
        "middle_name": "MATTHEW",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-18",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "014140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IAN",
            "last_name": "WALZ",
            "middle_name": "MATTHEW",
            "prefix": "MR.",
            "credential": "LMHC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Plattsburgh, NY

Sources for this page

Verify at the official NPI Registry.