Individual provider Active NPI

Joshua Dry

  • Counselor
  • Salamanca, NY
National Provider Identifier
1255768792
Registry record updated Sep 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
97 Main St
Salamanca, NY 14779-1529
Phone
(716) 945-5211
Fax
(716) 945-5267
NPI assigned
Sep 30, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

97 Main St
Salamanca, NY 14779-1529

Mailing address

1 Leo Moss Dr
Olean, NY 14760-1100
Phone (716) 701-3267

Other identifiers 1

IdentifierTypeStateIssuer
00635098MedicaidNY

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
I20240328003421 NY Practitioner - Mental Health Counselor 1759729544 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of CattaraugusGroup PAC ID 3375455124, 10 clinicians

Practice addresses (Care Compare)

1 Leo Moss Dr
Suite 4308
Olean, NY 14760-1100
Phone (716) 373-8040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
010870NYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
County of Cattaraugus Counselor CurrentSince Mar 1, 2024 Accepting new patients
County of Cattaraugus County Treasurer CurrentSince Mar 1, 2024 Accepting new patients

Locations

1 Leo Moss Dr
Ste 4308
Olean, NY 14760
Phone (716) 373-8040

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1380499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380499200000",
    "number": "1255768792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 LEO MOSS DR",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "147601100",
            "telephone_number": "716-701-3267",
            "fax_number": "716-701-3728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 MAIN ST",
            "city": "SALAMANCA",
            "state": "NY",
            "postal_code": "147791529",
            "telephone_number": "716-945-5211",
            "fax_number": "716-945-5267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRY",
        "first_name": "JOSHUA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-30",
        "last_updated": "2013-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00635098",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salamanca, NY

Sources for this page

Verify at the official NPI Registry.