Individual provider Active NPI

Andrea Baize

  • Counselor
  • Buffalo, NY
National Provider Identifier
1568089266
Registry record updated Jun 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
406 Vulcan St
Buffalo, NY 14207-1326
Phone
(716) 877-6763
NPI assigned
Jun 29, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 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

406 Vulcan St
Buffalo, NY 14207-1326

Mailing address

2495 Elmwood Ave
Kenmore, NY 14217-2222
Phone (716) 882-2127

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Services-Erie County Northwest Corporation I CurrentSince Jul 5, 2020 Accepting new patients

Locations

406 Vulcan St
Buffalo, NY 14207
Phone (716) 871-7092

2495 Elmwood Ave
Kenmore, NY 14217
Phone (716) 882-2127

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1593388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593388800000",
    "number": "1568089266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2495 ELMWOOD AVE",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "142172222",
            "telephone_number": "716-882-2127",
            "fax_number": "716-882-9277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 VULCAN ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142071326",
            "telephone_number": "716-877-6763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAIZE",
        "first_name": "ANDREA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-29",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "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 Jun 29, 2020; 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.