Katelyn Gill, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

P10763 Issued in NY

Practice address

10300 Shore Front Pkwy Apt 3D
Rockaway Park, NY 11694-2774

Phone

(845) 802-6008

NPI assigned

Nov 2, 2018

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1541116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619481600000",
    "number": "1588131007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "357 W OREILLY ST APT 1308",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124015731",
            "telephone_number": "347-752-1039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10300 SHORE FRONT PKWY APT 3D",
            "city": "ROCKAWAY PARK",
            "state": "NY",
            "postal_code": "116942774",
            "telephone_number": "845-802-6008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILL",
        "first_name": "KATELYN",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-02",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "P10763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Andrew Galvin, MD
• Caitlin Kerri Gavitt, PNP
• Genesis Adult Daycare
• Afshin Gholomhassani, M.D.
• Mary Kay A Gibbons, RN
• Mark Glod, PTA
• Estrella Frances Morillo Glover
• Dmitry Goldfeld, RPH
• Keisha M Goldsmith
• Lisamarie Guidice, DPM

• Mental Health Counselor in Rockaway Park, NY
• Providers in Rockaway Park, 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 Apr 27, 2021; 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.