Individual provider Active NPI

Conchetta Providence Lopresti, LPC, CASAC, ICCDP

  • Addiction (Substance Use Disorder) Counselor
  • Buffalo, NY
National Provider Identifier
1033298682
Registry record updated Apr 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
22683 Issued in NY
Practice address
76 W Humboldt Pkwy
MSGR. Carr Institute
Buffalo, NY 14214-2605
Phone
(716) 835-9745
Fax
(716) 835-6785
NPI assigned
Nov 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 000906 PA
Addiction (Substance Use Disorder) Counselor 101YA0400X 4010 PA
Addiction (Substance Use Disorder) Counselor 101YA0400X 22683 NY Primary

Addresses

Primary practice location

76 W Humboldt Pkwy
MSGR. Carr Institute
Buffalo, NY 14214-2605

Mailing address

76 W Humboldt Pkwy
MSGR. Carr Institute
Buffalo, NY 14214-2605
Phone (716) 835-9745

Other identifiers 5

IdentifierTypeStateIssuer
5833OtherPACO-OCCURRING DISORDERS
PC000906OtherPAPROFESSIONAL COUNSELOR
300099OtherINTERNATIONALLY CERTIFIED CO-OCCURRING DISORDERS PROFESSIONAL
4010OtherPAADDICTIONS COUNSELOR
22683OtherNYADDICTIONS

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

LicenseStateTypeSpecialty
000906PAMDCounselor
22683NYMDAddiction (Substance Use Disorder) Counselor
4010PAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Charities of Buffalo PastSince Feb 8, 1999 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270425600000",
    "number": "1033298682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 W HUMBOLDT PKWY",
            "address_2": "MSGR. CARR INSTITUTE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142142605",
            "telephone_number": "716-835-9745",
            "fax_number": "716-835-6785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 W HUMBOLDT PKWY",
            "address_2": "MSGR. CARR INSTITUTE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142142605",
            "telephone_number": "716-835-9745",
            "fax_number": "716-835-6785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPRESTI",
        "first_name": "CONCHETTA",
        "middle_name": "PROVIDENCE",
        "credential": "LPC, CASAC, ICCDP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-03",
        "last_updated": "2010-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "PA",
            "license": "000906",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "PA",
            "license": "4010",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "22683",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CO-OCCURRING DISORDERS",
            "identifier": "5833",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL COUNSELOR",
            "identifier": "PC000906",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTERNATIONALLY CERTIFIED CO-OCCURRING DISORDERS PROFESSIONAL",
            "identifier": "300099",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADDICTIONS COUNSELOR",
            "identifier": "4010",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADDICTIONS",
            "identifier": "22683",
            "state": "NY"
        }
    ],
    "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 Apr 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.