Individual provider Active NPI

Rachel Kocur

  • Clinical Social Worker
  • Niagara Falls, NY
National Provider Identifier
1063941730
Registry record updated Dec 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
092084 Issued in NY
Practice address
2400 Pine Ave
Niagara Falls, NY 14301-2402
Phone
(716) 505-1060
NPI assigned
Jun 7, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 092084 NY Primary

Addresses

Primary practice location

2400 Pine Ave
Niagara Falls, NY 14301-2402

Mailing address

55 Dodge Rd
Getzville, NY 14068-1205
Phone (716) 831-2700

Other names 1

  • Rachel Stephenson Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20211007001317 NY Practitioner - Clinical Social Worker 8325446255 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Horizon Health Services IncGroup PAC ID 5698689925, 144 clinicians

Practice addresses (Care Compare)

55 Dodge Rd
Getzville, NY 14068-1205
Phone (716) 650-5100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
092084NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Horizon Health Services Inc CurrentSince Sep 23, 2021 Accepting new patients

Locations

3020 Bailey Ave
Cheektowaga, NY 14215
Phone (716) 831-0200

55 Dodge Rd
Getzville, NY 14068
Phone (716) 650-5100

2400 Pine Ave
Niagara Falls, NY 14301
Phone (716) 282-1114

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HEGDAA

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": "1496793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639612800000",
    "number": "1063941730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 DODGE RD",
            "city": "GETZVILLE",
            "state": "NY",
            "postal_code": "140681205",
            "telephone_number": "716-831-2700",
            "fax_number": "716-831-1818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 PINE AVE",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143012402",
            "telephone_number": "716-505-1060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCUR",
        "first_name": "RACHEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-07",
        "last_updated": "2021-12-16",
        "certification_date": "2021-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "092084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "STEPHENSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Niagara Falls, NY

Sources for this page

Verify at the official NPI Registry.