Amanda I Czworka, LMHC
Individual provider Active NPI Mental Health Counselor · Getzville, NY
NPI 1154866549 · NPPES record last updated Feb 27, 2023
Key facts
- NPI
- 1154866549
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 007937-1 (NY)
- Practice address
- 55 Dodge Rd
Getzville, NY 14068-1205 - Phone
- (716) 650-5100
- NPI assigned
- Dec 21, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Horizon Health Services Inc
Practice addresses (Care Compare)
314 Ellicott St
Batavia, NY 14020-3650
Phone (585) 815-0247
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 |
|---|---|---|---|---|
| I20240113000534 | NY | Practitioner - Mental Health Counselor | 9931551041 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007937 | NY | MD | Registered Dietitian |
| 007937-1 | NY | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Horizon Health Services Inc | Current |
Accepting new patients | |
| County of Genesee County Treasurer | Past | Accepting new patients | |
| County of Genesee County Treasurer | Past |
Accepting new patients |
Locations
314 Ellicott St
Batavia, NY 14020
Phone (585) 815-0247
3020 Bailey Ave
Cheektowaga, NY 14215
Phone (716) 831-0200
55 Dodge Rd
Getzville, NY 14068
Phone (716) 650-5100
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HEGDAA
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 007937-1 | NY | Yes |
Addresses
Primary practice location
55 Dodge Rd
Getzville, NY 14068-1205
Mailing address
55 Dodge Rd
Getzville, NY 14068-1205
Phone (716) 831-2700
Other providers in Getzville, NY
- Ondra Elizabeth Craw
- Genene Crofut
- Crosstree Counseling and Consulting
- Alecia Marie Cultrara
- Patricia M Cutrona
- Patricia Lynne Daigler
- Amy Dake
- Cordie Daniels
- Caili Danieu
- Willie Abbott Dantzler
All providers in Getzville, 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 27, 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.