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MRS. JILLEEN ELIZABETH GORHAM MS, LMHC
NPI 1164076097
Counselor - Mental Health in Baldwinsville, NY

Active since July 29, 2019
721 IDLEWOOD BLVD, BALDWINSVILLE, NY 13027(315) 559-4303 Get Directions Write a Review

NPPES record last updated: March 3, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 3, 2023, Jul 29, 2019 (2 updates tracked since 2019).

About Mrs. Jilleen Elizabeth Gorham Ms, Lmhc NPPES

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

MRS. JILLEEN ELIZABETH GORHAM MS, LMHC (NPI 1164076097) is an individual mental health provider in Baldwinsville, New York, licensed in New York (009390) and active in the NPI registry since July 2019.

NPPES Registry Identity

NPI1164076097
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. JILLEEN ELIZABETH GORHAMCredential: MS, LMHC
Location Address721 IDLEWOOD BLVDBaldwinsville, NY 13027-3010
Mailing Address721 Idlewood BlvdBaldwinsville, NY 13027-3010 · (315) 559-4303
Phone(315) 559-4303
Sole ProprietorYes
Enumeration DateJuly 29, 2019
Last NPPES UpdateMarch 3, 20232 updates tracked since enumeration
NPPES CertifiedMarch 3, 2023
✔ NPI 1164076097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NY · 009390
721 IDLEWOOD BLVD, Baldwinsville, NY 13027
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

GORHAM MENTAL HEALTH COUNSELING, PLLC
Community/Behavioral 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 Jilleen Gorham's NPI number?

The NPI number for Jilleen Gorham is 1164076097. It was assigned to this individual provider in the NPPES registry on July 29, 2019.

Where is Jilleen Gorham located?

Jilleen Gorham practices at 721 Idlewood Blvd, Baldwinsville, NY 13027. The listed phone number is (315) 559-4303.

What is Jilleen Gorham's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Jilleen Gorham was last updated on March 3, 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.