Individual provider Active NPI

Bethany Kobus, LMHC

  • Mental Health Counselor
  • Buffalo, NY
National Provider Identifier
1093390718
Registry record updated Jan 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
014244 Issued in NY
Practice address
80 South St
Buffalo, NY 14204-2734
Phone
(716) 949-9721
Fax
(000) 000-0000
NPI assigned
Mar 15, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 014244 NY Primary

Addresses

Primary practice location

80 South St
Buffalo, NY 14204-2734

Mailing address

80 South St
Buffalo, NY 14204-2734
Phone (716) 949-9721

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 26, 2024 through Apr 26, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
014244NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Services-Erie County Northwest Corporation I Mental Health CurrentSince Mar 21, 2021 Accepting new patients
Dr. Bridget M Rippe, PSYD, PLLC PastSince Jul 2, 2023 Accepting new patients

Locations

2495 Elmwood Ave
Kenmore, NY 14217
Phone (716) 882-2127

Organizations & group practices 2

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": "1615766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767916800000",
    "number": "1093390718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 SOUTH ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142042734",
            "telephone_number": "716-949-9721",
            "fax_number": "000-000-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 SOUTH ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142042734",
            "telephone_number": "716-949-9721",
            "fax_number": "000-000-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOBUS",
        "first_name": "BETHANY",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-15",
        "last_updated": "2026-01-09",
        "certification_date": "2026-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "014244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.