Active NPI
Sally Diegelman, MAED, LMHC
- Mental Health Counselor
- Fredonia, NY
National Provider Identifier
1386436178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 015840-01
- Practice address
- 280 Central Ave
Fredonia, NY 14063-1127 - Phone
- (716) 673-3424
- NPI assigned
- May 19, 2025
- 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 | 015840-01 | NY | Primary |
Addresses
Primary practice location
280 Central Ave
Fredonia, NY 14063-1127
Mailing address
42 Wellington LN
Orchard Park, NY 14127-2528
Phone (716) 445-1360
Other practice location 1
3780 N Buffalo St Ste 6
Orchard Park, NY 14127-1855
Phone (716) 445-1360
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 015840-01 | NY | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773964800000",
"number": "1386436178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42 WELLINGTON LN",
"city": "ORCHARD PARK",
"state": "NY",
"postal_code": "141272528",
"telephone_number": "716-445-1360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "280 CENTRAL AVE",
"city": "FREDONIA",
"state": "NY",
"postal_code": "140631127",
"telephone_number": "716-673-3424"
}
],
"practiceLocations": [
{
"address_1": "3780 N Buffalo St Ste 6",
"address_purpose": "LOCATION",
"city": "Orchard Park",
"state": "NY",
"postal_code": "141271855",
"country_code": "US",
"telephone_number": "716-445-1360",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DIEGELMAN",
"first_name": "SALLY",
"credential": "MAED, LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-05-19",
"last_updated": "2026-03-20",
"certification_date": "2026-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "015840-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fredonia, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.