Mr John Anthony Southworth, LMHC in Malta, NY

Mr John Anthony Southworth, LMHC is a medicare enrolled "Counselor - Mental Health" provider in Malta, New York. His current practice location is 2452 Us Route 9, Suite 206, Malta, New York. You can reach out to his office (for appointments etc.) via phone at (518) 292-5433.

Mr John Anthony Southworth is licensed to practice in New York (license number 001436-1) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1457515199.

Contact Information

	Mr John Anthony Southworth, LMHC
	2452 Us Route 9, Suite 206, Malta, NY 12020
	(518) 292-5433
	(518) 899-4930

Map and Direction

Healthcare Provider's Profile

Full Name	Mr John Anthony Southworth
Gender	Male
Speciality	Counselor - Mental Health
Location	2452 Us Route 9, Malta, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1457515199
Provider Enumeration Date: 07/11/2008
Last Update Date: 03/13/2026

Medicare PECOS Information:

PECOS PAC ID: 3173032885
Enrollment ID: I20250604001022

Medical Identifiers

Medical identifiers for Mr John Anthony Southworth such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457515199	NPI	-	NPPES
00318805	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	001436-1 (New York)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr John Anthony Southworth is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr John Anthony Southworth, LMHC 2452 Us Route 9, Suite 206, Malta, NY 12020 Ph: (518) 292-5433	Mr John Anthony Southworth, LMHC 2452 Us Route 9, Suite 206, Malta, NY 12020 Ph: (518) 292-5433

Reviews and Comments

Counselor in Malta, NY

John Durden, MSW Counselor Medicare: May Accept Medicare Assignments Practice Location: 2452 Route 9, Suite 206, Malta, NY 12020 Phone: 518-292-5433 Fax: 518-899-4930
Ms. Dawn M Howk, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 5 Hemphill Place, Suite 121, Malta, NY 12020 Phone: 518-289-5072 Fax: 518-289-5225
Brittany Glenn, Counselor Medicare: May Accept Medicare Assignments Practice Location: 2452 Route 9, Suite 206, Malta, NY 12020 Phone: 518-704-5803
Roland Graves Jr., LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2691 State Route 9 Ste 204, Malta, NY 12020 Phone: 518-309-2192
Mrs. Erin Gorman, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 Saratoga Village Blvd Ste 26, Malta, NY 12020 Phone: 518-859-0985
Nicole Edwards, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 2425 Route 9, Malta, NY 12020 Phone: 518-250-6377

Mr John Anthony Southworth, LMHC - Medicare Counselor in Malta, NY