Jessica Waskow, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

52 Woodstream Dr
Grand Island, NY 14072-1485

Phone

(716) 302-4545

NPI assigned

Dec 22, 2015

Sex

Female

Sole proprietor

No

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

Practice roles

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.

• Mobile Counseling of New York LCSW, PLLC

  • Clinical Social Worker
  • Grand Island, NY
  • NPI 1700359700
  NPD

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

{
    "created_epoch": "1450742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1255796033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 WOODSTREAM DR",
            "city": "GRAND ISLAND",
            "state": "NY",
            "postal_code": "140721485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 WOODSTREAM DR",
            "city": "GRAND ISLAND",
            "state": "NY",
            "postal_code": "140721485",
            "telephone_number": "716-302-4545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASKOW",
        "first_name": "JESSICA",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-22",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William John Waldron, OD
• Walgreen Co
• Xavier Walker Jr., LMHC
• Rebekah Leigh Walter, COTA/L
• Steven Michael Warden, RDN
• Elena Marie Watt, PA
• Lisa Villafuerte Watt, OTR
• Susan Kathleen Wehling, DPT
• Jan Michal Wieckowski, M.D., PH.D.
• Nicole M. Wilson, C.O.T.A.

• Mental Health Counselor in Grand Island, NY
• Providers in Grand Island, 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 Aug 14, 2023; 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.