Individual provider Active NPI

Kimberly P Rave

  • Counselor
  • Buffalo, NY
National Provider Identifier
1508355710
Registry record updated Jan 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
625 Delaware Ave Ste 204
Buffalo, NY 14202-1007
Phone
(716) 882-3151
NPI assigned
May 2, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

625 Delaware Ave Ste 204
Buffalo, NY 14202-1007

Mailing address

625 Delaware Ave Ste 204
Buffalo, NY 14202-1007
Phone (716) 882-3151

Other practice location 1

1050 Niagara St
Buffalo, NY 14213-2007
Phone (716) 884-0700

Other names 1

  • Kimmy Rave Former name

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
I20240202002850 NY Practitioner - Mental Health Counselor 4789027087 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bestself Behavioral Health IncGroup PAC ID 6507856622, 77 clinicians

Practice addresses (Care Compare)

1500 Broadway St
Buffalo, NY 14212-1862
Phone (716) 422-2002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bestself Behavioral Health, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Bestself Behavioral Health, Inc. CurrentSince Jan 1, 2024 Accepting new patients

Locations

1500 Broadway St
Buffalo, NY 14212
Phone (716) 422-2002

899 Main St
Buffalo, NY 14203
Phone (716) 862-6544

254 Franklin St
Buffalo, NY 14202
Phone (716) 551-7894

625 Delaware Ave
Ste 204
Buffalo, NY 14202
Phone (716) 882-3151

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1525219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580169600000",
    "number": "1508355710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 DELAWARE AVE STE 204",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142021007",
            "telephone_number": "716-882-3151",
            "fax_number": "716-886-4002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 DELAWARE AVE STE 204",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142021007",
            "telephone_number": "716-882-3151"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1050 Niagara St",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142132007",
            "country_code": "US",
            "telephone_number": "716-884-0700",
            "fax_number": "716-884-0631",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAVE",
        "first_name": "KIMBERLY",
        "middle_name": "P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-02",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMMY",
            "last_name": "RAVE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.