Gavin C Raffloer

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

011823 Issued in NY

Practice address

3671 Southwestern Blvd Ste 209
Orchard Park, NY 14127-1749

Phone

(716) 895-7207

Fax

(716) 667-6808

NPI assigned

Nov 12, 2021

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mid Erie Mental Health Services Inc

  • Counselor
  • Cheektowaga, NY
  • NPI 1225095201
  NPD (past)

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

{
    "created_epoch": "1636675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636675200000",
    "number": "1366108466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3671 SOUTHWESTERN BLVD STE 209",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271749",
            "telephone_number": "716-895-7207",
            "fax_number": "716-667-6808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3671 SOUTHWESTERN BLVD STE 209",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271749",
            "telephone_number": "716-895-7207",
            "fax_number": "716-667-6808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAFFLOER",
        "first_name": "GAVIN",
        "middle_name": "C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-12",
        "last_updated": "2021-11-12",
        "certification_date": "2021-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "011823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Quinn, LMT
• Maureen Patricia Quinn, LSLP-CCC.
• Matthew Radel
• Jeremy Wayne Rademacker, D.C.
• Jacob Radlich, ATC, LAT
• Joanna Raimonde
• Amy Elizabeth Ramey, PT DPT
• Jamie Randall, LMT
• Nicholas Michael Randall
• Anne Randle, PA

• Mental Health Counselor in Orchard Park, NY
• Providers in Orchard Park, 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 Nov 12, 2021; 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.