Active NPI
Jacqueline S Cotton, M.A MHC
- Mental Health Counselor
- Buffalo, NY
National Provider Identifier
1386000313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 09445
- Practice address
- 1280 Main Street 3Rd Floor Spectrum Health & Human Serv
Buffalo, NY 14209 - Phone
- (716) 832-1251
- Fax
- (716) 887-3833
- NPI assigned
- Jan 6, 2016
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 09445 | NY | Primary |
Addresses
Primary practice location
1280 Main Street 3Rd Floor Spectrum Health & Human Serv
Buffalo, NY 14209
Mailing address
227 Thorn Avenue Spectrum Health & Human Services
Orchard Park, NY 14127
Phone (716) 662-2040
Other names 1
- Jacqueline Carmina
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)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 09445 | NY | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Erie County South East Corp V | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Olean, NY
- NPI 1497935092
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653609600000",
"number": "1386000313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "227 THORN AVENUE SPECTRUM HEALTH & HUMAN SERVICES",
"city": "ORCHARD PARK",
"state": "NY",
"postal_code": "14127",
"telephone_number": "716-662-2040",
"fax_number": "716-662-0019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1280 MAIN STREET 3RD FLOOR SPECTRUM HEALTH & HUMAN SERV",
"city": "BUFFALO",
"state": "NY",
"postal_code": "14209",
"telephone_number": "716-832-1251",
"fax_number": "716-887-3833"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COTTON",
"first_name": "JACQUELINE",
"middle_name": "S",
"name_prefix": "Ms.",
"credential": "M.A MHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-01-06",
"last_updated": "2022-05-27",
"certification_date": "2022-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "09445",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JACQUELINE",
"last_name": "CARMINA",
"code": "1",
"type": "Former Name"
}
]
}
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 May 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.