Active NPI
Elizabeth Grupa
- Mental Health Counselor
- Dunkirk, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 013114
- 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, 2024
- Sex
- Female
- 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 |
|---|---|---|---|---|
| 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
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
Enrollment records 1
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Chautauqua - a Mun Corp | Current | Accepting new patients | |
| County of Chautauqua - a Mun Corp | Current | 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.
-
dba Chautauqua County Department of Mental Hygiene
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Jamestown, NY
- NPI 1902897374
-
- Ambulance
- Mayville, NY
- NPI 1992244404
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.