NPIMap

Organization Active NPI

Branches of Growth Mental Health Counseling, PLLC

  • Mental Health Counselor
  • East Syracuse, NY
National Provider Identifier
1750845749
Registry record updated Oct 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
BRANCHES OF GROWTH MENTAL HEALTH COUNSELING, PLLC
Doing business as
Branches of Growth Mental Health Counseling, PLLC
Practice address
1 Adler Dr Ste 5
East Syracuse, NY 13057-1223
Phone
(315) 415-0308
NPI assigned
Jan 24, 2019
Last updated
Oct 25, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2024

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

Authorized official

Name
Katherine Sargent HyattNPI 1609275528
Title
Owner
Phone
(315) 415-0308

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

1 Adler Dr Ste 5
East Syracuse, NY 13057-1223

Mailing address

113 Church St
N Syracuse, NY 13212-2370
Phone (315) 415-0308

Other practice location 1

113 Church St
North Syracuse, NY 13212-2370
Phone (315) 415-0308

Other identifiers 1

IdentifierTypeStateIssuer
07661136MedicaidNY

Other names 1

  • Branches of Growth Mental Health Counseling, PLLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241030003564 NY Part B Supplier - Clinic/Group Practice 4082147962 Receives reassigned benefits from 14 practitioners
Practice locations: East Syracuse, NY; North Syracuse, NY

National Provider Directory

National Provider Directory

Locations

1 Adler Dr
Ste 5
East Syracuse, NY 13057
Phone (315) 415-0308

3709 Brewerton Rd
Syracuse, NY 13212

Practitioners & affiliated clinicians

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1548288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729814400000",
    "number": "1750845749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 CHURCH ST",
            "city": "N SYRACUSE",
            "state": "NY",
            "postal_code": "132122370",
            "telephone_number": "315-415-0308",
            "fax_number": "315-883-0711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ADLER DR STE 5",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130571223",
            "telephone_number": "315-415-0308"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "113 Church St",
            "address_purpose": "LOCATION",
            "city": "North Syracuse",
            "state": "NY",
            "postal_code": "132122370",
            "country_code": "US",
            "telephone_number": "315-415-0308",
            "fax_number": "315-883-0711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BRANCHES OF GROWTH MENTAL HEALTH COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-24",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A",
        "authorized_official_last_name": "HYATT",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "SARGENT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-415-0308"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07661136",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Branches of Growth Mental Health Counseling, PLLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Branches of Growth Mental Health Counseling, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in East Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.