Active NPI
Heidi Christine Wagner Maggitti, MA, LMHC, NCC
- Mental Health Counselor
- Buffalo, NY
National Provider Identifier
1013409671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 011765
- Practice address
- 374 Delaware Ave Ste 210
Buffalo, NY 14202-1611 - Phone
- (716) 249-4041
- Fax
- (716) 608-1511
- NPI assigned
- May 30, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 3568 | CA | |
| Mental Health Counselor | 101YM0800X | 011765 | NY | Primary |
Addresses
Primary practice location
374 Delaware Ave Ste 210
Buffalo, NY 14202-1611
Mailing address
153 Hartwell Rd
Buffalo, NY 14216-1703
Phone (716) 410-1980
Other practice location 1
564 Niagara St Bldg 2
Buffalo, NY 14201-1108
Phone (716) 359-4646
Other practice location 2
540 N Golden Circle Dr Ste 312
Santa Ana, CA 92705-3926
Phone (714) 487-7183
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011765 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694476800000",
"number": "1013409671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "153 HARTWELL RD",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142161703",
"telephone_number": "716-410-1980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "374 DELAWARE AVE STE 210",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142021611",
"telephone_number": "716-249-4041",
"fax_number": "716-608-1511"
}
],
"practiceLocations": [
{
"address_1": "564 Niagara St Bldg 2",
"address_purpose": "LOCATION",
"city": "Buffalo",
"state": "NY",
"postal_code": "142011108",
"country_code": "US",
"telephone_number": "716-359-4646",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "540 N Golden Circle Dr Ste 312",
"address_purpose": "LOCATION",
"city": "Santa Ana",
"state": "CA",
"postal_code": "927053926",
"country_code": "US",
"telephone_number": "714-487-7183",
"fax_number": "888-308-3718",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WAGNER MAGGITTI",
"first_name": "HEIDI",
"middle_name": "CHRISTINE",
"name_prefix": "Ms.",
"credential": "MA, LMHC, NCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-30",
"last_updated": "2023-09-12",
"certification_date": "2023-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "3568",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "011765",
"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 Sep 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.