Individual provider Active NPI

Mariah Okenwa, MA

  • Marriage & Family Therapist
  • Buffalo, NY
National Provider Identifier
1265039358
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
002171-01 Issued in NY
Practice address
266 Elmwood Ave Ste 260
Buffalo, NY 14222-2202
Phone
(716) 336-0653
NPI assigned
Oct 2, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 002171-01 NY Primary

Addresses

Primary practice location

266 Elmwood Ave Ste 260
Buffalo, NY 14222-2202

Mailing address

266 Elmwood Ave Ste 260
Buffalo, NY 14222-2202
Phone (716) 336-0653

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
I20250909003763 NY Practitioner - Marriage and Family Therapist 0840793659 Practice locations: Buffalo, NY

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

266 Elmwood Ave
Suite 260
Buffalo, NY 14222-2202
Phone (716) 219-3990

266 Elmwood Ave
Suite 260
Buffalo, NY 14222-2296
Phone (716) 219-3990

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
002171-01NYMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1601596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1265039358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "266 ELMWOOD AVE STE 260",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142222202",
            "telephone_number": "716-336-0653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "266 ELMWOOD AVE STE 260",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142222202",
            "telephone_number": "716-336-0653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKENWA",
        "first_name": "MARIAH",
        "name_prefix": "Mrs.",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-02",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NY",
            "license": "002171-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.