Active NPI
Jennifer M Schwenkbeck, LCSW R
- Mental Health Counselor
- Hamburg, NY
National Provider Identifier
1164574190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- R0538141
- Practice address
- 46 Main Street
Hamburg, NY 14075 - Phone
- (716) 646-4991
- Fax
- (716) 646-4996
- NPI assigned
- Jan 18, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | R0538141 | NY | Primary |
Addresses
Primary practice location
46 Main Street
Hamburg, NY 14075
Mailing address
46 Main Street
Hamburg, NY 14075
Phone (716) 646-4991
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180619002410 | NY | Practitioner - Clinical Social Worker | 3971858754 | Practice locations: Hamburg, NY |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R0538141 | NY | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Discover Chiropractic PC | Past | Accepting new patients | |
| Child and Adolescent Treatment Services Inc | Mental Health | 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 Counselor
- Hamburg, NY
- NPI 1578615308
-
- Internist Chiropractor
- Hamburg, NY
- NPI 1801005244
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164574190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "46 MAIN STREET",
"city": "HAMBURG",
"state": "NY",
"postal_code": "14075",
"telephone_number": "716-646-4991",
"fax_number": "716-646-4996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "46 MAIN STREET",
"city": "HAMBURG",
"state": "NY",
"postal_code": "14075",
"telephone_number": "716-646-4991",
"fax_number": "716-646-4996"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHWENKBECK",
"first_name": "JENNIFER",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "LCSW R",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "R0538141",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hamburg, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.