Hiding Place Individual Family and Marriage Therapy PLLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

HIDING PLACE INDIVIDUAL FAMILY AND MARRIAGE THERAPY PLLC

Practice address

1868 Niagara Falls Blvd Ste 103
Tonawanda, NY 14150-6494

Phone

(716) 201-0522

NPI assigned

Sep 11, 2023

Last updated

Jan 3, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Edward Jackson Jr., LMFTNPI 1649879743

Title

Member/Owner

Phone

(716) 201-0522

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Edward Jackson Jr., LMFT

  • Marriage & Family Therapist
  • Buffalo, NY
  • NPI 1649879743
  NPD Authorized official

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

{
    "created_epoch": "1694390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704240000000",
    "number": "1467239814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1868 NIAGARA FALLS BLVD STE 103",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "141506494",
            "telephone_number": "716-201-0522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1868 NIAGARA FALLS BLVD STE 103",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "141506494",
            "telephone_number": "716-201-0522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIDING PLACE INDIVIDUAL FAMILY AND MARRIAGE THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-11",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "MEMBER/OWNER",
        "authorized_official_telephone_number": "716-201-0522",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hearing & Speech Center of Wny
• Hearing and Speech Center of Wny
• Kimberly Michelle Henry, PHARM.D.
• Shacarah Henry
• Amanda Herbert
• Sandra Elaine Hill, MS SLP CCC
• Aaron Michel Hirsch
• Alexander Grant Hislop, PT, DPT
• Stasia Hoadley, LPN
• Jennifer Hoagland

• Marriage & Family Therapist in Tonawanda, NY
• Providers in Tonawanda, NY by specialty
• Marriage & Family Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; 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.