Individual provider Active NPI

Margaret A Nezelek, LCSW

  • Counselor
  • Sidney, NY
National Provider Identifier
1265466601
Registry record updated Feb 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
R0440551 Issued in NY
Practice address
76 Main St
Suite B
Sidney, NY 13838-1112
Phone
(607) 563-4080
Fax
(607) 563-4080
NPI assigned
Jul 10, 2006
Last updated
Feb 11, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X R0440551 NY Primary

Addresses

Primary practice location

76 Main St
Suite B
Sidney, NY 13838-1112

Mailing address

76 Main St
Suite B
Sidney, NY 13838-1112
Phone (607) 563-4080

Other identifiers 4

IdentifierTypeStateIssuer
713336OtherNYMVP
748252300OtherNYVALUE OPTIONS-EMPIRE
7482523002OtherNYGHI
135251OtherNYCDPHP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R0440551NYMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Davis and Nezelek Clinical Counseling PastSince Nov 23, 2009 Accepting new patients

Organizations & group practices 1

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265846400000",
    "number": "1265466601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 MAIN ST",
            "address_2": "SUITE B",
            "city": "SIDNEY",
            "state": "NY",
            "postal_code": "138381112",
            "telephone_number": "607-563-4080",
            "fax_number": "607-563-4080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 MAIN ST",
            "address_2": "SUITE B",
            "city": "SIDNEY",
            "state": "NY",
            "postal_code": "138381112",
            "telephone_number": "607-563-4080",
            "fax_number": "607-563-4080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEZELEK",
        "first_name": "MARGARET",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2010-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NY",
            "license": "R0440551",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "713336",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS-EMPIRE",
            "identifier": "748252300",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "7482523002",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP",
            "identifier": "135251",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sidney, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2010; 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.