Individual provider Active NPI

Madeline Tracy Gehrig

  • Mental Health Counselor
  • Buffalo, NY
National Provider Identifier
1164987947
Registry record updated Aug 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
009303 Issued in NY
Practice address
768 Delaware Ave
Buffalo, NY 14209-2006
Phone
(716) 882-3151
NPI assigned
Feb 5, 2019
Last updated
Aug 11, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2021

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 009303 NY Primary

Addresses

Primary practice location

768 Delaware Ave
Buffalo, NY 14209-2006

Mailing address

641 Park Ave Apt 13
Syracuse, NY 13204-2233

Other practice location 1

1045 James St
Syracuse, NY 13203-2730
Phone (315) 472-4471

Other practice location 2

625 Dealware Ave
Suite 204
Buffalo, NY 14202
Phone (716) 882-3151

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
I20240222002452 NY Practitioner - Mental Health Counselor 1557705159 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bestself Behavioral Health IncGroup PAC ID 6507856622, 77 clinicians

Practice addresses (Care Compare)

768 Delaware Ave
Buffalo, NY 14209-2006
Phone (716) 882-3151

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bestself Behavioral Health, Inc. Mental Health CurrentSince Jan 1, 2024 Accepting new patients
Bestself Behavioral Health, Inc. CurrentSince Jan 1, 2024 Accepting new patients

Locations

254 Franklin St
Buffalo, NY 14202
Phone (716) 551-7894

625 Delaware Ave
Ste 204
Buffalo, NY 14202
Phone (716) 882-3151

768 Delaware Ave
Buffalo, NY 14209
Phone (716) 881-2405

899 Main St
Buffalo, NY 14203
Phone (716) 862-6544

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, 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": "1549324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628640000000",
    "number": "1164987947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "641 PARK AVE APT 13",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132042233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "768 DELAWARE AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142092006",
            "telephone_number": "716-882-3151"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1045 James St",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "NY",
            "postal_code": "132032730",
            "country_code": "US",
            "telephone_number": "315-472-4471",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "625 Dealware Ave",
            "address_2": "Suite 204",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "14202",
            "country_code": "US",
            "telephone_number": "716-882-3151",
            "fax_number": "716-886-4002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GEHRIG",
        "first_name": "MADELINE",
        "middle_name": "TRACY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-05",
        "last_updated": "2021-08-11",
        "certification_date": "2021-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "009303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.