Organization Active NPI

Theodore Mental Health Counseling, PLLC

Doing business as Theodore Counseling

  • Mental Health Counselor
  • Buffalo, NY
National Provider Identifier
1043991466
Registry record updated Jun 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
THEODORE MENTAL HEALTH COUNSELING, PLLC
Doing business as
Theodore Counseling
Practice address
295 Main St RM 1095
Buffalo, NY 14203-2512
Phone
(716) 517-4297
Fax
(716) 259-9035
NPI assigned
Jul 27, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2025

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

Authorized official

Name
Mrs. Wadeline Theodore, LMHCNPI 1841756442
Title
Clinical Director
Phone
(716) 280-9214

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

295 Main St RM 1095
Buffalo, NY 14203-2512

Mailing address

295 Main St RM 1095
Buffalo, NY 14203-2512
Phone (716) 517-4297

Other names 2

  • Theodore Counseling Doing business as
  • Theodore Mental Health Counseling, PLLC Other name

National Provider Directory

National Provider Directory

Locations

295 Main St
Rm 1095
Buffalo, NY 14203
Phone (716) 507-5252

295 Main St
Rm 1083
Buffalo, NY 14203
Phone (716) 517-4297

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1690416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750896000000",
    "number": "1043991466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 MAIN ST RM 1095",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142032512",
            "telephone_number": "716-517-4297",
            "fax_number": "716-259-9035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 MAIN ST RM 1095",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142032512",
            "telephone_number": "716-517-4297",
            "fax_number": "716-259-9035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THEODORE MENTAL HEALTH COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-27",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-19",
        "status": "A",
        "authorized_official_last_name": "THEODORE",
        "authorized_official_first_name": "WADELINE",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "716-280-9214",
        "authorized_official_name_prefix": "Mrs.",
        "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": [
        {
            "organization_name": "Theodore Counseling",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Theodore Mental Health Counseling, PLLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jun 26, 2025; 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.