Individual provider Active NPI

Brittany Derry

  • Mental Health Counselor
  • Buffalo, NY
National Provider Identifier
1164881827
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
009460 Issued in NY
Practice address
34 Benwood Ave
Buffalo, NY 14214-1761
Phone
(716) 986-9199
Fax
(716) 342-2340
NPI assigned
Feb 23, 2016
Last updated
Mar 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 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 009460 NY Primary

Addresses

Primary practice location

34 Benwood Ave
Buffalo, NY 14214-1761

Mailing address

34 Benwood Ave
Buffalo, NY 14214-1761
Phone (716) 986-9199

Other practice location 1

2412 Seneca St
Buffalo, NY 14210-2662
Phone (716) 566-6507

Other practice location 2

255 Delaware Ave
Buffalo, NY 14202-2016
Phone (716) 842-0440

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
I20260529000235 NY Practitioner - Mental Health Counselor 8022588235 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

34 Benwood Ave
Buffalo, NY 14214-1761

34 Benwood Ave
Buffalo, NY 14214-1791

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
009460NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Erie County South East Corp V CurrentSince May 9, 2022 Accepting new patients
Bestself Behavioral Health, Inc. Mental Health PastSince Oct 30, 2022 Accepting new patients

Locations

2040 Seneca St
Buffalo, NY 14210
Phone (716) 828-0560

2412 Seneca St
Buffalo, NY 14210
Phone (716) 566-6507

227 Thorn Ave
Orchard Park, NY 14127
Phone (716) 539-6737

Organizations & group practices 3

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": "1456185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774828800000",
    "number": "1164881827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 BENWOOD AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142141761",
            "telephone_number": "716-986-9199",
            "fax_number": "716-342-2340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 BENWOOD AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142141761",
            "telephone_number": "716-986-9199",
            "fax_number": "716-342-2340"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2412 Seneca St",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142102662",
            "country_code": "US",
            "telephone_number": "716-566-6507",
            "fax_number": "716-828-1522",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "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": "DERRY",
        "first_name": "BRITTANY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-23",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "009460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.