Jacqueline Ann Comello

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

P103851 Issued in NU

Practice address

1439 Buffalo St
Olean, NY 14760-1140

Phone

(716) 375-4747

NPI assigned

Feb 5, 2020

Last updated

Feb 5, 2020By the provider in NPPES

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

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

Specialty

Mental Health Counselor

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Professional Medical Concierge Services PLLCGroup PAC ID 0840614020, 75 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jacquelinecomello@tdh.allscriptsdirect.net

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.

• Professional Medical Concierge Services, PLLC

  • Family Medicine Physician
  • Saratoga Springs, NY
  • NPI 1841812310

  Mental Health

  Medicare reassignment Care Compare group NPD
• Merion Square Road Medical PC

  dba Override

  • Pain Clinic/Center
  • Dayton, OH
  • NPI 1942923123

  NY

  Medicare reassignment NPD
• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Mental Health

  NPD

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

{
    "created_epoch": "1580860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580860800000",
    "number": "1295367613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5586 WOODCREST AVE LOT 2",
            "city": "FREDONIA",
            "state": "NY",
            "postal_code": "140631539",
            "telephone_number": "716-951-0763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1439 BUFFALO ST",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "147601140",
            "telephone_number": "716-375-4747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COMELLO",
        "first_name": "JACQUELINE",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-05",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": "P103851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coatney Enterprises Inc.
• David Coatney, D.D.S.
• Dominic A Colarusso Jr., DDS
• Janice Collins
• Sheila Marie Collins, LMSW, BCBA, LBA
• Hailey Conner
• Chelsea Connor, LMSW
• Kimberly Marie Conroy, APRN-BC
• Lisa Cook
• Brielle Lauren Cornelius

• Mental Health Counselor in Olean, NY
• Providers in Olean, 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 Feb 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.