Kristi Dierolf

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

007450 Issued in NY

Practice address

5467 Upper Mountain Road
Lockport, NY 14094

Phone

(716) 439-7410

NPI assigned

Sep 14, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• County of Niagara

  dba Niagara County Department of Mental Health Lockport

  • Community/Behavioral Health Agency
  • Lockport, NY
  • NPI 1891832879
  Medicare reassignment NPD
• County of Niagara

  • Land Ambulance
  • Lockport, NY
  • NPI 1891566725
  NPD

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

{
    "created_epoch": "1473811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473811200000",
    "number": "1053869495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 HIGH ST.",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140944404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5467 UPPER MOUNTAIN ROAD",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "14094",
            "telephone_number": "716-439-7410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIEROLF",
        "first_name": "KRISTI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-14",
        "last_updated": "2016-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "007450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Thomas Dibenedetto, M.D.
• Dibenedetto, Schratz & Hodge, MD's PC
• Michael Stuart Dick, D.D.S.
• Jarod Thomas Dickey
• Kayla Christine Dier
• August James Domenico, DC
• Eugene Domenico, PHD LCSW
• Amanda Erin Domm, D.C.
• Margaret Donohue, PHD
• Susan L Donohue, RD, CDN

• Mental Health Counselor in Lockport, NY
• Providers in Lockport, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.