Valerie A Nowak, MHC
Individual provider Active NPI Mental Health Counselor · Derby, NY
NPI 1376784199 · NPPES record last updated Mar 9, 2009
Key facts
- NPI
- 1376784199
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 004233-1 (NY)
- Practice address
- 6722 Erie Rd
Derby, NY 14047-9670 - Phone
- (716) 947-5025
- NPI assigned
- Mar 9, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240208000536 | NY | Practitioner - Mental Health Counselor | 5991124976 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004233-1 | NY | MD | Mental Health Counselor |
| 004233 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harmonia Collaborative Care Inc | Current |
Accepting new patients |
Locations
6722 Erie Rd
Derby, NY 14047
Phone (716) 947-2097
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 004233-1 | NY | Yes |
Addresses
Primary practice location
6722 Erie Rd
Derby, NY 14047-9670
Mailing address
6722 Erie Rd
Derby, NY 14047-9670
Phone (716) 947-5025
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00671807 | Medicaid | NY |
Other providers in Derby, NY
- Madison Elizabeth McDonagh
- Peter Samuel McQuiller
- Alexandra Mott
- John M Mulawka III
- Mary Katherine Nolan-Eaton
- Linda Lee Occhino
- Debbie Opoku
- Janet E Pajak
- Henna M Patel
- Paul J Caro MD
All providers in Derby, NY · Mental Health Counselor in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 9, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.