Individual provider Active NPI

Laurie A Griswold-Krupski, PHD

  • Mental Health Counselor
  • North Collins, NY
National Provider Identifier
1104601939
Registry record updated Aug 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
P123694 Issued in NY
Practice address
2101 Spruce St
North Collins, NY 14111-9701
Phone
(716) 337-3706
Fax
(716) 337-2723
NPI assigned
Aug 29, 2023
Last updated
Aug 29, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2023

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 P123694 NY Primary

Addresses

Primary practice location

2101 Spruce St
North Collins, NY 14111-9701

Mailing address

3176 Abbott Rd Ste 800N
Orchard Park, NY 14127-1069
Phone (716) 391-5700

Other practice location 1

3176 Abbott Rd Ste 800N
Orchard Park, NY 14127-1069
Phone (716) 391-5700

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
I20260212000130 NY Practitioner - Mental Health Counselor 5991284622 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1997
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

99 Rochester Ave
East Atlantic Beach, NY 11561-1032

PO Box
New York, NY 10087

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
P123694NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
365 Mental Health Counseling PLLC Mental Health CurrentSince Jan 4, 2026 Accepting new patients

Locations

333 W Commercial St
East Rochester, NY 14445
Phone (208) 421-0568

92 Broadway
Ste 234ABCD
Greenlawn, NY 11740

480 Broadway
Ste 330
Saratoga Springs, NY 12866
Phone (518) 469-9887

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1693267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693267200000",
    "number": "1104601939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3176 ABBOTT RD STE 800N",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271069",
            "telephone_number": "716-391-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 SPRUCE ST",
            "city": "NORTH COLLINS",
            "state": "NY",
            "postal_code": "141119701",
            "telephone_number": "716-337-3706",
            "fax_number": "716-337-2723"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3176 Abbott Rd Ste 800N",
            "address_purpose": "LOCATION",
            "city": "Orchard Park",
            "state": "NY",
            "postal_code": "141271069",
            "country_code": "US",
            "telephone_number": "716-391-5700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRISWOLD-KRUPSKI",
        "first_name": "LAURIE",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-29",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "P123694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Collins, NY

Sources for this page

Verify at the official NPI Registry.