Individual provider Active NPI

Elizabeth Grupa

  • Mental Health Counselor
  • Dunkirk, NY
National Provider Identifier
1609301837
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
013114 Issued in NY
Practice address
60-62 Franklin Ave
Dunkirk, NY 14048
Phone
(716) 363-3550
Fax
(716) 753-8716
NPI assigned
Apr 25, 2017
Last updated
Feb 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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 013114 NY Primary

Addresses

Primary practice location

60-62 Franklin Ave
Dunkirk, NY 14048

Mailing address

2 Academy St RM 201
Mayville, NY 14757-1050
Phone (716) 753-4554

Other names 1

  • Elizabeth Campese 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
I20250702000688 NY Practitioner - Mental Health Counselor 2567975501 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

200 E 3Rd St
Suite 5
Jamestown, NY 14701-5433
Phone (716) 661-8330

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
County of Chautauqua - a Mun Corp CurrentSince Apr 10, 2025 Accepting new patients
County of Chautauqua - a Mun Corp CurrentSince Apr 10, 2025 Accepting new patients

Locations

200 E 3rd St
Ste 5
Jamestown, NY 14701
Phone (716) 661-8330

2 Academy St
Rm 201
Mayville, NY 14757
Phone (716) 753-4104

3 N Erie St
Mayville, NY 14757

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, 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": "1493078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1609301837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 ACADEMY ST RM 201",
            "city": "MAYVILLE",
            "state": "NY",
            "postal_code": "147571050",
            "telephone_number": "716-753-4554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60-62 FRANKLIN AVE",
            "city": "DUNKIRK",
            "state": "NY",
            "postal_code": "14048",
            "telephone_number": "716-363-3550",
            "fax_number": "716-753-8716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUPA",
        "first_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-25",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "013114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "CAMPESE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dunkirk, NY

Sources for this page

Verify at the official NPI Registry.