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MS. JENNIFER M GOTHAM
NPI 1174644223
Counselor - Addiction (Substance Use Disorder) in Canton, NY

Active since April 03, 2007
80 STATE HIGHWAY 310, SUITE 1, CANTON, NY 13617(315) 386-2189(315) 386-2435 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Jennifer M Gotham NPPES

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

MS. JENNIFER M GOTHAM (NPI 1174644223) is an individual addiction (substance use disorder) provider in Canton, New York and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1174644223
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMS. JENNIFER M GOTHAM
Location Address80 STATE HIGHWAY 310, SUITE 1Canton, NY 13617-1493
Mailing Address80 State Highway 310, Suite 1Canton, NY 13617-1493 · (315) 386-2189 · Fax (315) 386-2435
Phone(315) 386-2189
Fax(315) 386-2435
Sole ProprietorNo
Enumeration DateApril 3, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1174644223 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
80 STATE HIGHWAY 310, Canton, NY 13617
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Other Providers at the Same Location NPPES 20

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

DAWN M COLBERT LMSW
Social Worker
80 STATE HIGHWAY 310
CANTON, NY 13617
St. Lawrence County (315) 386-2167
MS. MAVIS A BUSH
Counselor (Addiction (Substance Use Disorder))
80 STATE HIGHWAY 310, SUITE 1
CANTON, NY 13617
St. Lawrence County (315) 386-2189
MS. REGINA M WILLETTE RPA C
Midwife
80 STATE HIGHWAY 310, SUITE 1
CANTON, NY 13617
St. Lawrence County (315) 386-2189
MISS RONEE K CREE CERPA
Peer Specialist
80 STATE HIGHWAY 310
CANTON, NY 13617
St. Lawrence County (315) 386-2189
DEBORAH ANN WHITE
Registered Nurse
80 STATE HIGHWAY 310
CANTON, NY 13617
St. Lawrence County (315) 386-2167
JAMIE L REED
Contractor
80 STATE HIGHWAY 310
CANTON, NY 13617
St. Lawrence County (315) 386-2325
MS. RUTHANN M MATTHEWS CASAC
Counselor (Addiction (Substance Use Disorder))
80 STATE HIGHWAY 310, SUITE 1
CANTON, NY 13617
St. Lawrence County (315) 386-2189
ANDREA HAYDEN
Contractor
80 STATE HIGHWAY 310
CANTON, NY 13617
St. Lawrence County (315) 386-2325

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 Jennifer Gotham's NPI number?

The NPI number for Jennifer Gotham is 1174644223. It was assigned to this individual provider in the NPPES registry on April 3, 2007.

Where is Jennifer Gotham located?

Jennifer Gotham practices at 80 State Highway 310 Suite 1, Canton, NY 13617. The listed phone number is (315) 386-2189.

What is Jennifer Gotham's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Jennifer Gotham was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.