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GORHAM MENTAL HEALTH COUNSELING, PLLC
NPI 1124703947
Community/Behavioral Health in Baldwinsville, NY

Active since June 19, 2023
721 IDLEWOOD BLVD, BALDWINSVILLE, NY 13027(315) 559-4303 Get Directions Write a Review

NPPES record last updated: June 19, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gorham Mental Health Counseling, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GORHAM MENTAL HEALTH COUNSELING, PLLC (NPI 1124703947) is a healthcare organization registered as a community/behavioral health in Baldwinsville, New York and active in the NPI registry since June 2023. The organization lists Jilleen E Gorham, Owner, as its authorized official.

NPPES Registry Identity

NPI1124703947
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameGORHAM MENTAL HEALTH COUNSELING, PLLC
Location Address721 IDLEWOOD BLVDBaldwinsville, NY 13027-3010
Mailing Address721 Idlewood BlvdBaldwinsville, NY 13027-3010 · (315) 559-4303
Phone(315) 559-4303
Organization SubpartNo
Authorized OfficialJilleen E GorhamOwner · (315) 559-4303
Enumeration DateJune 19, 2023
NPPES CertifiedJune 19, 2023
✔ NPI 1124703947 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
721 IDLEWOOD BLVD, Baldwinsville, NY 13027
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Other Identifiers 1

Medicaid1164076097NY

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. JILLEEN ELIZABETH GORHAM MS, LMHC
Counselor (Mental Health)
721 IDLEWOOD BLVD
BALDWINSVILLE, NY 13027
Onondaga County (315) 559-4303

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gorham Mental Health Counseling, PLLC's NPI number?

The NPI number for Gorham Mental Health Counseling, PLLC is 1124703947. It was assigned to this organization in the NPPES registry on June 19, 2023.

Where is Gorham Mental Health Counseling, PLLC located?

Gorham Mental Health Counseling, PLLC is located at 721 Idlewood Blvd, Baldwinsville, NY 13027. The listed phone number is (315) 559-4303.

What is Gorham Mental Health Counseling, PLLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Gorham Mental Health Counseling, PLLC was last updated on June 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.