Jacob Andrew Abraham
Individual provider Active NPI Mental Health Counselor · Buffalo, NY
NPI 1003589433 · NPPES record last updated Jul 30, 2021
Key facts
- NPI
- 1003589433
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- P105172 (NY)
- Practice address
- 387 Franklin St
Buffalo, NY 14202-1507 - Phone
- (716) 462-0284
- Fax
- (716) 262-0481
- NPI assigned
- Jul 30, 2021
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P105172 | NY | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | P105172 | NY | Yes |
Addresses
Primary practice location
387 Franklin St
Buffalo, NY 14202-1507
Mailing address
102 Cumberland Ave
Buffalo, NY 14220-1310
Phone (716) 931-0141
Other providers in Buffalo, NY
- Sara Abou Azar
- Elias Abdallah Abou-Jaoude
- Mohei E Abouzied
- Stephanie Abplanalp
- Alexandra Kathryn Abraham
- Lindsay L Abraham
- Michelle Abraham
- Yolanda Abraham
- Heather Abramo
- Nicholas Angelo Abramo
All providers in Buffalo, NY · Mental Health Counselor in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 30, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.