Individual provider Active NPI

David V. Pew, LMHC

  • Mental Health Counselor
  • Kenmore, NY
National Provider Identifier
1407013642
Registry record updated Apr 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
005131 Issued in NY
Practice address
15 Lasalle Ave Ste 109
Kenmore, NY 14217-2641
Phone
(716) 919-6333
NPI assigned
May 16, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2023

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 005131 NY Primary

Addresses

Primary practice location

15 Lasalle Ave Ste 109
Kenmore, NY 14217-2641

Mailing address

153 Rachel Vincent Way
Buffalo, NY 14216-1460
Phone (716) 316-2583

Other practice location 1

153 Rachel Vincent Way
Buffalo, NY 14216-1460
Phone (716) 316-2583

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

NPI Registry JSON

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

{
    "created_epoch": "1210896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680652800000",
    "number": "1407013642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 RACHEL VINCENT WAY",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142161460",
            "telephone_number": "716-316-2583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 LASALLE AVE STE 109",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "142172641",
            "telephone_number": "716-919-6333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "153 Rachel Vincent Way",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142161460",
            "country_code": "US",
            "telephone_number": "716-316-2583",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEW",
        "first_name": "DAVID",
        "middle_name": "V.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-16",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "005131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenmore, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.