Organization Active NPI

Christian Counseling Ministries of Western New York Inc

  • Multi-Specialty Clinic/Center
  • Clarence, NY
National Provider Identifier
1033836762
Registry record updated Nov 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
CHRISTIAN COUNSELING MINISTRIES OF WESTERN NEW YORK INC
Practice address
9070 Main St
Clarence, NY 14031-1825
Phone
(716) 632-3200
NPI assigned
Oct 24, 2022
Last updated
Nov 15, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2023

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

Authorized official

Name
Yvonne B Banks
Title
Executive Director
Phone
(716) 632-3200

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X NU
Mental Health Counselor 101YM0800X NU
Social Worker 104100000X NU
Clinical Social Worker 1041C0700X NU
Marriage & Family Therapist 106H00000X NU
Multi-Specialty Clinic/Center 261QM1300X NU Primary

Addresses

Primary practice location

9070 Main St
Clarence, NY 14031-1825

Mailing address

9070 Main St
Clarence, NY 14031-1825
Phone (716) 632-3200

Other practice location 1

4999 McKinley Pkwy
Hamburg, NY 14075-1027
Phone (716) 632-3200

Other names 1

  • Christian Counseling Services of Greater Buffalo Former legal business name

National Provider Directory

National Provider Directory

Locations

9070 Main St
Clarence, NY 14031
Phone (716) 632-3200

4999 McKinley Pkwy
Hamburg, NY 14075
Phone (716) 632-3200

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1666569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700006400000",
    "number": "1033836762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9070 MAIN ST",
            "city": "CLARENCE",
            "state": "NY",
            "postal_code": "140311825",
            "telephone_number": "716-632-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9070 MAIN ST",
            "city": "CLARENCE",
            "state": "NY",
            "postal_code": "140311825",
            "telephone_number": "716-632-3200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4999 McKinley Pkwy",
            "address_purpose": "LOCATION",
            "city": "Hamburg",
            "state": "NY",
            "postal_code": "140751027",
            "country_code": "US",
            "telephone_number": "716-632-3200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHRISTIAN COUNSELING MINISTRIES OF WESTERN NEW YORK INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-24",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A",
        "authorized_official_last_name": "BANKS",
        "authorized_official_first_name": "YVONNE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "716-632-3200"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Christian Counseling Services of Greater Buffalo",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Christian Counseling Services of Greater Buffalo",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Clarence, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.

Verify at the official NPI Registry.