Active NPI
Ivar Lupkin, CRC
- Rehabilitation Counselor
- West Seneca, NY
National Provider Identifier
1558433474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Counselor
- License
- 022364
- Practice address
- 326 Orchard Park Rd
West Seneca, NY 14224-2635 - Phone
- (716) 828-1719
- Fax
- (716) 828-9275
- NPI assigned
- Nov 15, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Counselor | 225C00000X | 022364 | NY | Primary |
Addresses
Primary practice location
326 Orchard Park Rd
West Seneca, NY 14224-2635
Mailing address
227 Thorn Avenue
Spectrum Human Services
Orchard Park, NY 14127
Phone (716) 662-2040
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
| License | State | Type | Specialty |
|---|---|---|---|
| 022364 | NY | MD | Rehabilitation Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1558433474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "227 THORN AVENUE",
"address_2": "SPECTRUM HUMAN SERVICES",
"city": "ORCHARD PARK",
"state": "NY",
"postal_code": "14127",
"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": "326 ORCHARD PARK RD",
"city": "WEST SENECA",
"state": "NY",
"postal_code": "142242635",
"telephone_number": "716-828-1719",
"fax_number": "716-828-9275"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUPKIN",
"first_name": "IVAR",
"credential": "CRC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225C00000X",
"taxonomy_group": "",
"desc": "Rehabilitation Counselor",
"state": "NY",
"license": "022364",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Seneca, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.