Individual provider Active NPI

Christopher Roche

  • Mental Health Counselor
  • Williamsville, NY
National Provider Identifier
1376904722
Registry record updated Oct 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
003544 Issued in NY
Practice address
5500 Main St Ste 202
Williamsville, NY 14221-6737
Phone
(716) 514-2679
Fax
(716) 215-2384
NPI assigned
Mar 14, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 003544 NY Primary

Addresses

Primary practice location

5500 Main St Ste 202
Williamsville, NY 14221-6737

Mailing address

5500 Main St Ste 202
Williamsville, NY 14221-6737
Phone (716) 514-2679

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240530000751 NY Practitioner - Mental Health Counselor 4688016090 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5500 Main St
Suite 202
Williamsville, NY 14221-6737
Phone (716) 574-9587

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
003544NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Roche and Rodriguez Mental Health Counseling, PLLC Mental Health CurrentSince Dec 23, 2019 Accepting new patients
Counseling Services of Upstate New York Inc. Past Accepting new patients
Venture Forthe, Inc. Past Accepting new patients

Locations

5500 Main St
Ste 202
Williamsville, NY 14221
Phone (716) 514-2679

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1457913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696464000000",
    "number": "1376904722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 MAIN ST STE 202",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142216737",
            "telephone_number": "716-514-2679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 MAIN ST STE 202",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142216737",
            "telephone_number": "716-514-2679",
            "fax_number": "716-215-2384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCHE",
        "first_name": "CHRISTOPHER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-14",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "003544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

Verify at the official NPI Registry.