Katilyn Butler, LMSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

104512 Issued in NY

Practice address

380 Freeville Rd
Freeville, NY 13068-9684

Phone

(585) 844-6305

NPI assigned

Jan 23, 2020

Last updated

Jan 23, 2020By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• William George Agency

  • Substance Abuse Rehabilitation Facility
  • Freeville, NY
  • NPI 1932568755
  NPD (past)

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

{
    "created_epoch": "1579737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579737600000",
    "number": "1841820362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 FREEVILLE RD",
            "city": "FREEVILLE",
            "state": "NY",
            "postal_code": "130689684",
            "telephone_number": "585-844-6305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 FREEVILLE RD",
            "city": "FREEVILLE",
            "state": "NY",
            "postal_code": "130689684",
            "telephone_number": "585-844-6305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "KATILYN",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-23",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "104512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Freeville",
            "affiliation": "N",
            "endpointDescription": "The William George Agency for Childrens Services",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Freeville",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Freeville",
            "address_1": "380 Freeville Rd",
            "city": "Freeville",
            "state": "NY",
            "country_code": "US",
            "postal_code": "130689684",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Gretchen Louise Boje, D.C.
• Rashke Bradley
• Margaret Ogden Brady
• Ashley Paige Braman, R.N.
• Zachary P Brinn
• Adam Cake
• Danielle Sue Chase, LCSW, CASAC
• Joshua Michael Clark
• Jennifer Anne Clarke, FNP
• Kevin Gerard Coleman, D.C.

• Mental Health Counselor in Freeville, NY
• Providers in Freeville, 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 Jan 23, 2020; 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.