Individual provider Active NPI

Elizabeth Ann Kern, 101YM0800X

  • Mental Health Counselor
  • Buffalo, NY
National Provider Identifier
1609345230
Registry record updated May 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
646 N French Rd Ste 7
Buffalo, NY 14228-2100
Phone
(716) 616-0014
NPI assigned
Nov 13, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 010696
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

646 N French Rd Ste 7
Buffalo, NY 14228-2100

Mailing address

332 Lamarck Dr
Amherst, NY 14226-4854
Phone (716) 208-7159

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
I20240108004020 NY Practitioner - Mental Health Counselor 1153772702 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Professional Medical Concierge Services PLLCGroup PAC ID 0840614020, 75 clinicians

Practice addresses (Care Compare)

1785 Route 9
Halfmoon, NY 12065-2449
Phone (518) 238-6028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
010696NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Elizabeth Kern Mental Health Counseling, LMHC, PLLC CurrentSince May 26, 2024 Accepting new patients
Mid Erie Mental Health Services Inc CurrentSince Jan 1, 2024 Accepting new patients
Professional Medical Concierge Services, PLLC Mental Health CurrentSince Jan 23, 2025 Accepting new patients

Locations

646 N French Rd
Ste 7
Buffalo, NY 14228
Phone (716) 345-4125

1526 Walden Ave
Ste 400
Cheektowaga, NY 14225
Phone (716) 895-7167

1785 Route 9
Halfmoon, NY 12065
Phone (518) 238-6028

Organizations & group practices 3

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": "1542067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716508800000",
    "number": "1609345230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 LAMARCK DR",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142264854",
            "telephone_number": "716-208-7159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "646 N FRENCH RD STE 7",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142282100",
            "telephone_number": "716-616-0014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERN",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "credential": "101YM0800X",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-13",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": "010696",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.