Courtney Killik, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

008951 Issued in NY

Practice address

31 Thurber Dr
Waterloo, NY 13165-1665

Phone

(315) 539-1980

NPI assigned

Aug 20, 2018

Sex

Female

Sole proprietor

No

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

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Seneca County Treasurer

  • Community/Behavioral Health Agency
  • Waterloo, NY
  • NPI 1689787517
  Medicare reassignment NPD
• Seneca County Addictions Program

  • Clinic/Center
  • Waterloo, NY
  • NPI 1295799070
  NPD

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

{
    "created_epoch": "1534723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696550400000",
    "number": "1982184875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 W CAYUGA ST",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131262031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 THURBER DR",
            "city": "WATERLOO",
            "state": "NY",
            "postal_code": "131651665",
            "telephone_number": "315-539-1980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILLIK",
        "first_name": "COURTNEY",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-20",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "008951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kingsley D Kabari, STUDENT
• Steven L Kane, LCSW-R
• Mackenzie Kapp
• David Kaufman, M.D.
• Jessica Leigh Kight, MFT
• Billie Kingsbury-Lohr
• Kristina Marie Knight, RN
• Ann E Knoll, MS, LMHC
• Roberta L. Korich, N.P.
• Michael Robert Kozlowski, DO

• Mental Health Counselor in Waterloo, NY
• Providers in Waterloo, 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 Oct 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.