Active NPI
Elizabeth Mary Mazak, MS, LMHC
- Mental Health Counselor
- West Seneca, NY
National Provider Identifier
1174876361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH23431
- Practice address
- 26 Seneca Creek Rd
West Seneca, NY 14224-2232 - Phone
- (386) 801-9999
- NPI assigned
- Oct 25, 2012
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH23431 | FL | Primary |
Addresses
Primary practice location
26 Seneca Creek Rd
West Seneca, NY 14224-2232
Mailing address
26 Seneca Creek Rd
West Seneca, NY 14224-2232
Phone (386) 801-9999
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 070525000 | Medicaid | FL |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH23431 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The House Next Door, Inc. | Mental Health | Past | Accepting new patients |
Organizations & group practices 1
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": "1351123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714003200000",
"number": "1174876361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26 SENECA CREEK RD",
"city": "WEST SENECA",
"state": "NY",
"postal_code": "142242232",
"telephone_number": "386-801-9999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26 SENECA CREEK RD",
"city": "WEST SENECA",
"state": "NY",
"postal_code": "142242232",
"telephone_number": "386-801-9999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAZAK",
"first_name": "ELIZABETH",
"middle_name": "MARY",
"name_prefix": "Ms.",
"credential": "MS, LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-10-25",
"last_updated": "2024-04-25",
"certification_date": "2024-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH23431",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "070525000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in West Seneca, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.