Active NPI
Thomas Edward Livernois, LMFT
- Marriage & Family Therapist
- Buffalo, NY
National Provider Identifier
1003278649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 001412
- Practice address
- 331 Alberta Dr Ste 214
Buffalo, NY 14226 - Phone
- (716) 550-1928
- NPI assigned
- Mar 23, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Marriage & Family Therapist | 106H00000X | 001412 | NY | Primary |
Addresses
Primary practice location
331 Alberta Dr Ste 214
Buffalo, NY 14226
Mailing address
331 Alberta Dr Ste 214
Buffalo, NY 14226-1813
Phone (716) 550-1928
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001412 | NY | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534809600000",
"number": "1003278649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "331 ALBERTA DR STE 214",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142261813",
"telephone_number": "716-550-1928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "331 ALBERTA DR STE 214",
"city": "BUFFALO",
"state": "NY",
"postal_code": "14226",
"telephone_number": "716-550-1928"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIVERNOIS",
"first_name": "THOMAS",
"middle_name": "EDWARD",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-03-23",
"last_updated": "2018-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NY",
"license": "001412",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.