Active NPI
Levada Bamba, CASAC-T
- Counselor
- Buffalo, NY
National Provider Identifier
1306093414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 951 Niagara Street
Adolescent Program
Buffalo, NY 14213 - Phone
- (716) 818-7195
- Fax
- (716) 884-1758
- NPI assigned
- Aug 20, 2008
- Last updated
- Aug 20, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
951 Niagara Street
Adolescent Program
Buffalo, NY 14213
Mailing address
254 Franklin Street
Lake Shore Behavioral Health
Buffalo, NY 14202
Phone (716) 842-0440
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219190400000",
"number": "1306093414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "254 FRANKLIN STREET",
"address_2": "LAKE SHORE BEHAVIORAL HEALTH",
"city": "BUFFALO",
"state": "NY",
"postal_code": "14202",
"telephone_number": "716-842-0440",
"fax_number": "716-842-4069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "951 NIAGARA STREET",
"address_2": "ADOLESCENT PROGRAM",
"city": "BUFFALO",
"state": "NY",
"postal_code": "14213",
"telephone_number": "716-818-7195",
"fax_number": "716-884-1758"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAMBA",
"first_name": "LEVADA",
"name_prefix": "Ms.",
"credential": "CASAC-T",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-08-20",
"last_updated": "2008-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.