Individual provider Active NPI

Tammy Lynn Bissonnette, MA, LMHC, CASAC, QHP

  • Mental Health Counselor
  • Hamburg, NY
National Provider Identifier
1255195145
Registry record updated Jun 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
015052 Issued in NY
Practice address
485 Sunset Dr
Hamburg, NY 14075-4231
Phone
(716) 244-8943
NPI assigned
Feb 12, 2024
Last updated
Jun 26, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X P118996 NY
Mental Health Counselor 101YM0800X 015052 NY Primary

Addresses

Primary practice location

485 Sunset Dr
Hamburg, NY 14075-4231

Mailing address

42 Lake St Ste D
Hamburg, NY 14075-4937
Phone (716) 410-5390

Other practice location 1

42 Lake St
Hamburg, NY 14075-4937
Phone (716) 410-5390

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
I20241211001026 NY Practitioner - Mental Health Counselor 2769918911 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
P118996NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Urban Mental Health Counseling Services PLLC Mental Health CurrentSince Jan 1, 2025 Accepting new patients
Southtowns Mental Health Counseling PC Mental Health CurrentSince Oct 10, 2025 Accepting new patients
Erie County South East Corp V CurrentSince Oct 21, 2024 Accepting new patients

Locations

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

38 Lake St
Hamburg, NY 14075
Phone (716) 410-5390

42 Lake St
Ste D
Hamburg, NY 14075
Phone (716) 397-6633

779 Fairmount Ave
Jamestown, NY 14701
Phone (716) 322-9088

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

27 Franklin St
Springville, NY 14141
Phone (716) 592-5006

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": "1707696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750896000000",
    "number": "1255195145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 LAKE ST STE D",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140754937",
            "telephone_number": "716-410-5390",
            "fax_number": "716-244-9011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 SUNSET DR",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140754231",
            "telephone_number": "716-244-8943"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "42 Lake St",
            "address_purpose": "LOCATION",
            "city": "Hamburg",
            "state": "NY",
            "postal_code": "140754937",
            "country_code": "US",
            "telephone_number": "716-410-5390",
            "fax_number": "716-422-9011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BISSONNETTE",
        "first_name": "TAMMY",
        "middle_name": "LYNN",
        "credential": "MA, LMHC, CASAC, QHP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-12",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "P118996",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "015052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamburg, NY

Sources for this page

Verify at the official NPI Registry.