Active NPI
Michael Frazier
- Addiction (Substance Use Disorder) Counselor
- Buffalo, NY
National Provider Identifier
1144769217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 24688
- Practice address
- 463 William St
Buffalo, NY 14204-1811 - Phone
- (716) 893-0062
- Fax
- (716) 893-0070
- NPI assigned
- Feb 22, 2017
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 24688 | NY | Primary |
Addresses
Primary practice location
463 William St
Buffalo, NY 14204-1811
Mailing address
184 Patrick LN
Buffalo, NY 14225-5226
Phone (716) 602-4891
Other practice location 1
255 Delaware Ave
Buffalo, NY 14202-2016
Phone (716) 842-0440
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101YM0800X | Medicaid | NY |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24688 | NY | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid Erie Mental Health Services Inc | Addiction (Substance Use Disorder) | Past | Accepting new patients |
| Bestself Behavioral Health, Inc. | Addiction (Substance Use Disorder) | Past | Accepting new patients |
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Buffalo, NY
- NPI 1508868407
Addiction (Substance Use Disorder)
-
- Counselor
- Cheektowaga, NY
- NPI 1225095201
Addiction (Substance Use Disorder)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1144769217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "184 PATRICK LN",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142255226",
"telephone_number": "716-602-4891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "463 WILLIAM ST",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142041811",
"telephone_number": "716-893-0062",
"fax_number": "716-893-0070"
}
],
"practiceLocations": [
{
"address_1": "255 Delaware Ave",
"address_purpose": "LOCATION",
"city": "Buffalo",
"state": "NY",
"postal_code": "142022016",
"country_code": "US",
"telephone_number": "716-842-0440",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FRAZIER",
"first_name": "MICHAEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-02-22",
"last_updated": "2023-03-07",
"certification_date": "2023-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NY",
"license": "24688",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101YM0800X",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.