Individual provider Active NPI

Ellen Gail Horovitz, ATR-BC, LCAT

  • Mental Health Counselor
  • Spencerport, NY
National Provider Identifier
1770790131
Registry record updated Jul 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
05 000467 Issued in NY
Practice address
2 Canalside Dr
Spencerport, NY 14559-1347
Phone
(585) 704-1890
NPI assigned
May 16, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 05 000467 NY Primary
Art Therapist 221700000X 05 000467 NY

Addresses

Primary practice location

2 Canalside Dr
Spencerport, NY 14559-1347

Mailing address

2 Canalside Dr
Spencerport, NY 14559-1347
Phone (585) 704-1890

Other identifiers 2

IdentifierTypeStateIssuer
101YM0800XOtherNYCOUNSELOR, MENTAL HEALTH
05 000467OtherNYART THERAPY LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
05 000467NYMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467417600000",
    "number": "1770790131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CANALSIDE DR",
            "city": "SPENCERPORT",
            "state": "NY",
            "postal_code": "145591347",
            "telephone_number": "585-704-1890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CANALSIDE DR",
            "city": "SPENCERPORT",
            "state": "NY",
            "postal_code": "145591347",
            "telephone_number": "585-704-1890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOROVITZ",
        "first_name": "ELLEN",
        "middle_name": "GAIL",
        "name_prefix": "Dr.",
        "credential": "ATR-BC, LCAT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-16",
        "last_updated": "2016-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "05 000467",
            "primary": true
        },
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "NY",
            "license": "05 000467",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COUNSELOR, MENTAL HEALTH",
            "identifier": "101YM0800X",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ART THERAPY LICENSE",
            "identifier": "05 000467",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spencerport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2016; 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.