Active NPI
Ned R. Lindstrom
- Mental Health Counselor
- Jamestown, NY
National Provider Identifier
1073941597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 005807-1
- Practice address
- 405 Howard Ave
Jamestown, NY 14701-9404 - Phone
- (724) 396-1510
- Fax
- (724) 972-4627
- NPI assigned
- Oct 18, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 005807-1 | NY | Primary |
Addresses
Primary practice location
405 Howard Ave
Jamestown, NY 14701-9404
Mailing address
101 Pembroke Court
Greensburg, PA 15601-6404
Phone (724) 396-1510
Other practice location 1
107 Scott St
Tonawanda, NY 14150-3428
Phone (716) 351-2919
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005807-1 | NY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1382054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768435200000",
"number": "1073941597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 PEMBROKE COURT",
"city": "GREENSBURG",
"state": "PA",
"postal_code": "156016404",
"telephone_number": "724-396-1510",
"fax_number": "724-972-4627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 HOWARD AVE",
"city": "JAMESTOWN",
"state": "NY",
"postal_code": "147019404",
"telephone_number": "724-396-1510",
"fax_number": "724-972-4627"
}
],
"practiceLocations": [
{
"address_1": "107 Scott St",
"address_purpose": "LOCATION",
"city": "Tonawanda",
"state": "NY",
"postal_code": "141503428",
"country_code": "US",
"telephone_number": "716-351-2919",
"fax_number": "724-972-4627",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LINDSTROM",
"first_name": "NED",
"middle_name": "R.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-10-18",
"last_updated": "2026-01-15",
"certification_date": "2026-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "005807-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jamestown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.