Jessica L Bonczar, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

007098-1 Issued in NY

Practice address

162 Main St
Hamburg, NY 14075-4917

Phone

(716) 697-2946

NPI assigned

Jul 1, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1625097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625097600000",
    "number": "1225608102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140750025",
            "telephone_number": "716-697-2946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 MAIN ST",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140754917",
            "telephone_number": "716-697-2946"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5519 Old Lake Shore Rd",
            "address_purpose": "LOCATION",
            "city": "Lake View",
            "state": "NY",
            "postal_code": "140859752",
            "country_code": "US",
            "telephone_number": "716-697-2946",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BONCZAR",
        "first_name": "JESSICA",
        "middle_name": "L",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-01",
        "last_updated": "2021-07-01",
        "certification_date": "2021-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "007098-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William James Boehm, PA-C
• Anthony Boergers
• Roselind G Bogner, PHD
• Jennifer Ann Bogulski, PT DPT
• Amanda Bolin, LMHC
• Tanya Bork, DVM
• Adjo Donaldine Boukari
• Kimberly Ann Bovo, LMT
• Alexandra Brenan, PA
• Karale Brese

• Mental Health Counselor in Hamburg, NY
• Providers in Hamburg, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2021; 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.