Active NPI
Suzanne Marie Wirth, MS,LMHC
- Mental Health Counselor
- Hamburg, NY
National Provider Identifier
1396773099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 000781
- Practice address
- 4207 Sheva LN
Hamburg, NY 14075-1314 - Phone
- (716) 826-0909
- Fax
- (716) 826-0909
- NPI assigned
- Jun 29, 2006
- 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 | 000781 | NY | Primary |
Addresses
Primary practice location
4207 Sheva LN
Hamburg, NY 14075-1314
Mailing address
4207 Sheva LN
Hamburg, NY 14075-1314
Phone (716) 826-0909
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000781 | NY | MD | Psychoanalyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1396773099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4207 SHEVA LN",
"city": "HAMBURG",
"state": "NY",
"postal_code": "140751314",
"telephone_number": "716-826-0909",
"fax_number": "716-826-0909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4207 SHEVA LN",
"city": "HAMBURG",
"state": "NY",
"postal_code": "140751314",
"telephone_number": "716-826-0909",
"fax_number": "716-826-0909"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIRTH",
"first_name": "SUZANNE",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "MS,LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "000781",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hamburg, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.