Individual provider Active NPI

Alexis Mary Machelor

  • Rehabilitation Counselor
  • Buffalo, NY
National Provider Identifier
1336853456
Registry record updated Apr 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation CounselorTaxonomy code 225C00000X
License
112520
Practice address
1050 Niagara St
Buffalo, NY 14213-2001
Phone
(716) 218-2100
Fax
(716) 856-2608
NPI assigned
Jan 12, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 112520
Rehabilitation Counselor 225C00000X 112520 Primary

Addresses

Primary practice location

1050 Niagara St
Buffalo, NY 14213-2001

Mailing address

1050 Niagara St
Buffalo, NY 14213-2001
Phone (716) 218-2100

Other identifiers 1

IdentifierTypeStateIssuer
112520OtherCOMMISSION ON REHABILITATION COUNSELOR CERTIFICATION

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": "1673481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682467200000",
    "number": "1336853456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 NIAGARA ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142132001",
            "telephone_number": "716-218-2100",
            "fax_number": "716-856-2608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 NIAGARA ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142132001",
            "telephone_number": "716-218-2100",
            "fax_number": "716-856-2608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACHELOR",
        "first_name": "ALEXIS",
        "middle_name": "MARY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-12",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": "112520",
            "primary": false
        },
        {
            "code": "225C00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor",
            "state": null,
            "license": "112520",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMISSION ON REHABILITATION COUNSELOR CERTIFICATION",
            "identifier": "112520",
            "state": null
        }
    ],
    "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 Apr 26, 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.