Lockport Mental Health Counseling

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

LOCKPORT MENTAL HEALTH COUNSELING

Practice address

1868 Niagara Falls Blvd Ste 308
Tonawanda, NY 14150-6494

Phone

(716) 418-3885

NPI assigned

Feb 16, 2024

Last updated

Jul 30, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Isaiah Mantooth-Jordan, LMHC

Title

Owner

Phone

(716) 418-3885

Specialties & licenses 1

Addresses

Other names 1

• Isaiah Mantooth-Jordan Other name

Locations

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

{
    "created_epoch": "1708041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722297600000",
    "number": "1922863174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1868 NIAGARA FALLS BLVD STE 308",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "141506494",
            "telephone_number": "716-418-3885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1868 NIAGARA FALLS BLVD STE 308",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "141506494",
            "telephone_number": "716-418-3885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOCKPORT MENTAL HEALTH COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-16",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A",
        "authorized_official_last_name": "MANTOOTH-JORDAN",
        "authorized_official_first_name": "ISAIAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-418-3885",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Isaiah Mantooth-Jordan",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Isaiah Mantooth-Jordan",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Winee Li
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• Teresa Anne Lindell, DPT
• Joshua Lindstrom
• Kimberly Ann Lipinski, OTR/L
• Kaitlyn Lockwood, DPT
• Emily Logsdon, LCSW
• Max Lort, DC
• Angel Lynne Love, LPN
• William Marcus Lucas

• Mental Health Counselor in Tonawanda, NY
• Providers in Tonawanda, 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 Jul 30, 2024; 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.