Jodi Benatovich
Individual provider Active NPI Mental Health Counselor · Batavia, NY
NPI 1083196331 · NPPES record last updated Feb 20, 2023
Key facts
- NPI
- 1083196331
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 010746 (NY)
- Practice address
- 314 Ellicott St
Batavia, NY 14020-3650 - Phone
- (585) 815-0247
- NPI assigned
- Sep 4, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Valera Medical PC
Practice addresses (Care Compare)
134 N 4TH St
Brooklyn, NY 11249-3296
Phone (646) 450-7748
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240112001278 | NY | Practitioner - Mental Health Counselor | 4385095496 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010746 | NY | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Horizon Health Services Inc | Current |
Accepting new patients | |
| Valera Medical, P.C. | Counselor | Current |
Accepting new patients |
| Horizon Village Recovery Center | Past |
Accepting new patients |
Locations
314 Ellicott St
Batavia, NY 14020
Phone (585) 815-0247
134 N 4th St
Brooklyn, NY 11249
3020 Bailey Ave
Cheektowaga, NY 14215
Phone (716) 831-0200
55 Dodge Rd
Getzville, NY 14068
Phone (716) 650-5100
1370 Niagara Falls Blvd
Tonawanda, NY 14150
Phone (716) 833-3708
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HEGDAA
- jodi.benatovich.p1@direct.valerahealth.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 010746 | NY | Yes |
Addresses
Primary practice location
314 Ellicott St
Batavia, NY 14020-3650
Mailing address
55 Dodge Rd
Getzville, NY 14068-1205
Phone (716) 831-2700
Other providers in Batavia, NY
- Mason Frederick Beaudry
- Kelly Ann Beck
- Kodian Freedom Becker
- Robert A Belde
- John Christopher Bellassai
- Michael Benhar
- Steven John Benjamin
- Cheryl L. Bennett
- Bernard W Asher MD & Lilian L Orba MD PC
- Patricia Jennie Beverly
All providers in Batavia, NY · Mental Health Counselor in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 20, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.