Organization Active NPI

Phoenix Mental Health, LLC

  • Mental Health Counselor
  • Buffalo, NY
National Provider Identifier
1043946569
Registry record updated Jul 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
PHOENIX MENTAL HEALTH, LLC
Practice address
2130 Clinton St
Buffalo, NY 14206-3356
Phone
(716) 380-2129
NPI assigned
Jul 27, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2022

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

Authorized official

Name
Ms. Caitlyn Beilman, LMHC
Title
Licensed Mental Health Counselor
Phone
(716) 380-2129

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

2130 Clinton St
Buffalo, NY 14206-3356

Mailing address

1540 Center Rd
West Seneca, NY 14224-3286
Phone (716) 380-2129

Other practice location 1

1540 Center Rd
West Seneca, NY 14224-3286
Phone (716) 380-2129

National Provider Directory

National Provider Directory

Locations

2130 Clinton St
Cheektowaga, NY 14206
Phone (716) 259-2347

NPI Registry JSON

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

{
    "created_epoch": "1658880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658880000000",
    "number": "1043946569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 CENTER RD",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142243286",
            "telephone_number": "716-380-2129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2130 CLINTON ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142063356",
            "telephone_number": "716-380-2129"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1540 Center Rd",
            "address_purpose": "LOCATION",
            "city": "West Seneca",
            "state": "NY",
            "postal_code": "142243286",
            "country_code": "US",
            "telephone_number": "716-380-2129",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PHOENIX MENTAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-27",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A",
        "authorized_official_last_name": "BEILMAN",
        "authorized_official_first_name": "CAITLYN",
        "authorized_official_title_or_position": "LICENSED MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "716-380-2129",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "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 Jul 27, 2022; 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.