Individual provider Active NPI

Elizabeth Ann Siematkowski I, LMHC

  • Mental Health Counselor
  • Buffalo, NY
National Provider Identifier
1457706277
Registry record updated Apr 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
18006627 Issued in NY
Practice address
597 Elmwood Ave
Apt. 11B
Buffalo, NY 14222-1837
Phone
(315) 854-0265
NPI assigned
Apr 29, 2016
Last updated
Apr 29, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2016

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 18006627 NY Primary

Addresses

Primary practice location

597 Elmwood Ave
Apt. 11B
Buffalo, NY 14222-1837

Mailing address

597 Elmwood Ave
Apt. 11B
Buffalo, NY 14222-1837
Phone (315) 854-0265

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

LicenseStateTypeSpecialty
18006627NYMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1461888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461888000000",
    "number": "1457706277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "597 ELMWOOD AVE",
            "address_2": "APT. 11B",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142221837",
            "telephone_number": "315-854-0265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "597 ELMWOOD AVE",
            "address_2": "APT. 11B",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142221837",
            "telephone_number": "315-854-0265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEMATKOWSKI",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "name_prefix": "Miss",
        "name_suffix": "I",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-29",
        "last_updated": "2016-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "18006627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2016; 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.