Individual provider Active NPI

Thomas J Buckles Jr., LMHC

  • Mental Health Counselor
  • Williamsville, NY
National Provider Identifier
1639357924
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
005021 Issued in NY
Practice address
2801 Wehrle Dr Ste 7B
Williamsville, NY 14221-7381
Phone
(716) 220-7496
Fax
(716) 276-3044
NPI assigned
Feb 8, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2026

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 005021 NY Primary

Addresses

Primary practice location

2801 Wehrle Dr Ste 7B
Williamsville, NY 14221-7381

Mailing address

2801 Wehrle Dr Ste 7B
Williamsville, NY 14221-7381
Phone (716) 220-7496

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
I20240105003060 NY Practitioner - Mental Health Counselor 4587015326 Practice locations: Williamsville, NY

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Marymount University, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2801 Wehrle Dr
Suite 7B
Williamsville, NY 14221-7381
Phone (716) 220-7496

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
005021NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Kelly M McCall LCSW, PLLC PastSince Oct 7, 2019 Accepting new patients

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": "1202428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770854400000",
    "number": "1639357924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 WEHRLE DR STE 7B",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142217381",
            "telephone_number": "716-220-7496",
            "fax_number": "716-276-3044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 WEHRLE DR STE 7B",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142217381",
            "telephone_number": "716-220-7496",
            "fax_number": "716-276-3044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKLES",
        "first_name": "THOMAS",
        "middle_name": "J",
        "name_suffix": "Jr.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-08",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "005021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

Verify at the official NPI Registry.