Organization Active NPI

Bestself Behavioral Health, Inc

  • Mental Health Counselor
  • Buffalo, NY
National Provider Identifier
1205378809
Registry record updated Oct 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6783101A Issued in NY
Legal business name
BESTSELF BEHAVIORAL HEALTH, INC
Practice address
951 Niagara St
Buffalo, NY 14213-2116
Phone
(716) 884-0700
Fax
(716) 884-0631
NPI assigned
Nov 14, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Elizabeth Woike-Ganga, LCSW-R
Title
President/Ceo
Phone
(716) 842-0440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 6783101A NY Primary

Addresses

Primary practice location

951 Niagara St
Buffalo, NY 14213-2116

Mailing address

255 Delaware Ave
Suite 300
Buffalo, NY 14202-2016
Phone (716) 842-0440

Other identifiers 1

IdentifierTypeStateIssuer
00671765MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Lackawanna Counseling S12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/6e4def70-1dc1-4769-a067-b144af5e540a/

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1479081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602201600000",
    "number": "1205378809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 DELAWARE AVE",
            "address_2": "SUITE 300",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142022016",
            "telephone_number": "716-842-0440",
            "fax_number": "716-842-4069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 NIAGARA ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142132116",
            "telephone_number": "716-884-0700",
            "fax_number": "716-884-0631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BESTSELF BEHAVIORAL HEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-14",
        "last_updated": "2020-10-09",
        "certification_date": "2020-10-09",
        "status": "A",
        "authorized_official_last_name": "WOIKE-GANGA",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "716-842-0440",
        "authorized_official_credential": "LCSW-R"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "6783101A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00671765",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.