Individual provider Active NPI

Paula Wojewoda, LMHC

  • Mental Health Counselor
  • Olean, NY
National Provider Identifier
1508264573
Registry record updated Dec 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
000580 Issued in NY
Practice address
2626 W State St
Suite 212
Olean, NY 14760-1858
Phone
(716) 378-9060
Fax
(716) 235-2611
NPI assigned
Dec 8, 2014
Last updated
Dec 8, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2014

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 000580 NY Primary

Addresses

Primary practice location

2626 W State St
Suite 212
Olean, NY 14760-1858

Mailing address

2626 W State St
Suite 212
Olean, NY 14760-1858
Phone (716) 378-9060

Other names 1

  • Paula Wojewoda-Ko Other name

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
000580NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Olean Medical Group Past Accepting new patients

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": "1417996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417996800000",
    "number": "1508264573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2626 W STATE ST",
            "address_2": "SUITE 212",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "147601858",
            "telephone_number": "716-378-9060",
            "fax_number": "716-235-2611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 W STATE ST",
            "address_2": "SUITE 212",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "147601858",
            "telephone_number": "716-378-9060",
            "fax_number": "716-235-2611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOJEWODA",
        "first_name": "PAULA",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-08",
        "last_updated": "2014-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "000580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAULA",
            "last_name": "WOJEWODA-KO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Olean, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2014; 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.