SOUTHTOWNS MENTAL HEALTH COUNSELING PC
NPI 1306411244
Counselor - Mental Health in Hamburg, NY

Q: What is Southtowns Mental Health Counseling PC's specialty?

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

Active since May 24, 2021

38 LAKE ST, HAMBURG, NY 14075(716) 410-5390(716) 422-9011 Get Directions Write a Review

NPPES record last updated: February 10, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 9, 2021, May 24, 2021 (2 updates tracked since 2021).

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About Southtowns Mental Health Counseling Pc NPPES

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

SOUTHTOWNS MENTAL HEALTH COUNSELING PC (NPI 1306411244) is a healthcare organization registered as a mental health in Hamburg, New York and active in the NPI registry since May 2021. The organization lists Amanda Bolin, Director, as its authorized official.

NPPES Registry Identity

NPI1306411244

Entity TypeOrganization

Primary Taxonomy101YM0800X

Legal Business NameSOUTHTOWNS MENTAL HEALTH COUNSELING PC

Location Address38 LAKE STHamburg, NY 14075-4951

Mailing Address38 Lake StHamburg, NY 14075-4951 · (716) 410-5390 · Fax (716) 422-9011

Phone(716) 410-5390

Fax(716) 422-9011

Organization SubpartNo

Authorized OfficialAmanda BolinDirector · (716) 410-5390

Enumeration DateMay 24, 2021

Last NPPES UpdateFebruary 10, 20262 updates tracked since enumeration

NPPES CertifiedFebruary 10, 2026

✔ NPI 1306411244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X

Also ListedChiropractorTaxonomy 111N00000X

Also ListedRegistered NurseTaxonomy 163W00000X

Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X

Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X

Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X

38 LAKE ST, Hamburg, NY 14075

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Other Identifiers 1

Medicaid07665974NY

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Southtowns Mental Health Counseling Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 4 clinicians reassign Medicare billing to Southtowns Mental Health Counseling PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Amanda Bolin, LMHC

Mental Health Counselor

NPI 1295418911

42 LAKE ST STE D
Hamburg, NY 14075

(716) 410-5390

✔ PECOSSame address

Jason Shear, LMHC-P

Mental Health Counselor

NPI 1386189496

42 LAKE ST STE D
Hamburg, NY 14075

(716) 410-0164

✔ PECOSSame address

Tammy Bissonnette, MA, LMHC, CASAC, QHP

Mental Health Counselor

NPI 1255195145

485 SUNSET DR
Hamburg, NY 14075

(716) 244-8943

✔ PECOS1.4 mi

Kristen Corbran

Mental Health Counselor

NPI 1437656428

3176 ABBOTT RD STE 500
Orchard Park, NY 14127

(716) 822-2177

✔ PECOS5.9 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Southtowns Mental Health Counseling PC's NPI number?

The NPI number for Southtowns Mental Health Counseling PC is 1306411244. It was assigned to this organization in the NPPES registry on May 24, 2021.

Where is Southtowns Mental Health Counseling PC located?

Southtowns Mental Health Counseling PC is located at 38 Lake St, Hamburg, NY 14075. The listed phone number is (716) 410-5390.

What is Southtowns Mental Health Counseling PC's specialty?

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

Is Southtowns Mental Health Counseling PC enrolled in Medicare?

Yes. Southtowns Mental Health Counseling PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southtowns Mental Health Counseling PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Mental Health Counselor, reassign their Medicare billing to Southtowns Mental Health Counseling PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Southtowns Mental Health Counseling PC was last updated on February 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.