Individual provider Active NPI

Amanda Burkett

  • Counselor
  • Buffalo, NY
National Provider Identifier
1417396029
Registry record updated Jun 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
1280 Main St
Buffalo, NY 14209-1912
Phone
(716) 884-5797
Fax
(716) 882-0293
NPI assigned
Jun 17, 2013
Last updated
Jun 17, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU Primary

Addresses

Primary practice location

1280 Main St
Buffalo, NY 14209-1912

Mailing address

227 Thorn Ave
Orchard Park, NY 14127-2600
Phone (716) 662-2040

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
I20240208001874 NY Practitioner - Mental Health Counselor 8820431695 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Erie County South East Corp VGroup PAC ID 9638079023, 22 clinicians

Practice addresses (Care Compare)

27 Franklin St
Springville, NY 14141-1375
Phone (716) 592-9301

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Erie County South East Corp V CurrentSince Jan 1, 2024 Accepting new patients

Locations

1280 Main St
Buffalo, NY 14209
Phone (716) 832-1251

2040 Seneca St
Buffalo, NY 14210
Phone (716) 828-0560

227 Thorn Ave
Orchard Park, NY 14127
Phone (716) 539-6737

27 Franklin St
Springville, NY 14141
Phone (716) 592-5006

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1371427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371427200000",
    "number": "1417396029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 THORN AVE",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141272600",
            "telephone_number": "716-662-2040",
            "fax_number": "716-662-0019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1280 MAIN ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142091912",
            "telephone_number": "716-884-5797",
            "fax_number": "716-882-0293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKETT",
        "first_name": "AMANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-17",
        "last_updated": "2013-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.