Hillary E Southwick, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

008099 Issued in NY

Practice address

34 Beeman Way
Champlain, NY 12919-4965

Phone

(315) 203-5545

NPI assigned

Oct 6, 2014

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

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 and National Provider Directory roles.

• Monarch Winds Mental Health Counseling, PLLC

  • Mental Health Counselor
  • Champlain, NY
  • NPI 1114810488

  Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1412553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626393600000",
    "number": "1831592872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1010",
            "city": "CHAMPLAIN",
            "state": "NY",
            "postal_code": "129191010",
            "telephone_number": "315-203-5545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 BEEMAN WAY",
            "city": "CHAMPLAIN",
            "state": "NY",
            "postal_code": "129194965",
            "telephone_number": "315-203-5545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUTHWICK",
        "first_name": "HILLARY",
        "middle_name": "E",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-06",
        "last_updated": "2021-07-16",
        "certification_date": "2021-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "008099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maurice A Racine, MD
• Rite Aid of New York Inc
• Courtney Elizabeth Shutts, RN
• Lisa Marie Skarling, MD
• Dorothea Burget Southwick, P.T.
• Julie K Steele-Goodwin, PA-C
• William L Steinfeld, DMD
• Edward Svendsen, PHARMD
• Sarah Valk, LCSW-R
• Nganha Vo

• All providers in Champlain, NY
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.