Hannah Costello Wiltse, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

117180 Issued in NY

Practice address

164 Wyatt Dr
Rochester, NY 14610-2352

Phone

(585) 455-9767

NPI assigned

Jan 31, 2024

Last updated

Jun 12, 2026By the provider in NPPES

Sex

Female

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

• Gavia Lifecare Center, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Rochester, NY
  • NPI 1710592209
  NPD

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

{
    "created_epoch": "1706659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781222400000",
    "number": "1508629775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 N MICHIGAN AVE STE 1430",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606017653",
            "telephone_number": "312-766-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 WYATT DR",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146102352",
            "telephone_number": "585-455-9767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTELLO WILTSE",
        "first_name": "HANNAH",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-31",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "117180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christian Costanzo, LMSW
• Costco Wholesale Corporation (Costco Optical #1195)
• Costco Wholesale Corporation (Costco Hearing Aid #1195)
• Costco Wholesale Corporation
• Antonis Alex Costeas, MD
• Alice Mary Costello, FNP
• Jo Anne Costello, R.N.
• Lynette M Costello, OTR
• Maria Christine Costello, PA-C
• Janet Coster

• Mental Health Counselor in Rochester, NY
• Providers in Rochester, 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 Jun 12, 2026; 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.