NPIMap

Organization Active NPI

Bonnie E. O'Brien, LCSW, PLLC

  • Mental Health Counselor
  • East Aurora, NY
National Provider Identifier
1386418267
Registry record updated Nov 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
BONNIE E. O'BRIEN, LCSW, PLLC
Practice address
411 Main St Rear
East Aurora, NY 14052-1700
Phone
(716) 235-1519
NPI assigned
Nov 10, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2023

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

Authorized official

Name
Bonnie Elizabeth O'Brien, LCSWNPI 1760765150
Title
Owner
Phone
(716) 200-8873

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

411 Main St Rear
East Aurora, NY 14052-1700

Mailing address

411 Main St Rear
East Aurora, NY 14052-1700
Phone (716) 235-1519

National Provider Directory

National Provider Directory

Locations

411 Main St
Rear
East Aurora, NY 14052
Phone (716) 200-8873

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1699574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699574400000",
    "number": "1386418267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 MAIN ST REAR",
            "city": "EAST AURORA",
            "state": "NY",
            "postal_code": "140521700",
            "telephone_number": "716-235-1519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 MAIN ST REAR",
            "city": "EAST AURORA",
            "state": "NY",
            "postal_code": "140521700",
            "telephone_number": "716-235-1519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONNIE E. O'BRIEN, LCSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-10",
        "last_updated": "2023-11-10",
        "certification_date": "2023-11-10",
        "status": "A",
        "authorized_official_last_name": "O'BRIEN",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-200-8873",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Aurora, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2023; 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.