Individual provider Active NPI

Elisa Jeanne Yamonaco

  • Mental Health Counselor
  • Buffalo, NY
National Provider Identifier
1386211779
Registry record updated Nov 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
013952 Issued in NY
Practice address
95 W Humboldt Pkwy
Buffalo, NY 14214-2604
Phone
(716) 710-5151
Fax
(716) 883-0687
NPI assigned
Jun 5, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2024

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 013952 NY Primary

Addresses

Primary practice location

95 W Humboldt Pkwy
Buffalo, NY 14214-2604

Mailing address

255 Delaware Ave Ste 300
Buffalo, NY 14202-2017
Phone (716) 842-0440

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
I20240129000135 NY Practitioner - Mental Health Counselor 0345693107 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bestself Behavioral Health IncGroup PAC ID 6507856622, 77 clinicians

Practice addresses (Care Compare)

1412 Sweet Home Rd
Ste. 1 5 and 7 8
Amherst, NY 14228-2795
Phone (716) 589-1411

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
013952NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Bestself Behavioral Health, Inc. Mental Health CurrentSince Jan 1, 2024 Accepting new patients
Bestself Behavioral Health, Inc. CurrentSince Jan 1, 2024 Accepting new patients

Locations

1412 Sweet Home Rd
Ste 15
Amherst, NY 14228
Phone (716) 589-1411

95 W Humboldt Pkwy
Buffalo, NY 14214
Phone (716) 710-5050

899 Main St
Buffalo, NY 14203
Phone (716) 862-6544

254 Franklin St
Buffalo, NY 14202
Phone (716) 551-7894

255 Delaware Ave
Ste 300
Buffalo, NY 14202
Phone (408) 348-2769

Organizations & group practices 2

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": "1622851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732579200000",
    "number": "1386211779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 DELAWARE AVE STE 300",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142022017",
            "telephone_number": "716-842-0440",
            "fax_number": "716-842-4069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 W HUMBOLDT PKWY",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142142604",
            "telephone_number": "716-710-5151",
            "fax_number": "716-883-0687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAMONACO",
        "first_name": "ELISA",
        "middle_name": "JEANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-05",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "013952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.