Zainab Al Bofradi

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

2495 Elmwood Ave
Kenmore, NY 14217-2222

Phone

(716) 882-2127

NPI assigned

Jan 10, 2022

Last updated

Jan 10, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Invest in You Mental Health Counseling, P.C.

  • Mental Health Counselor
  • Long Beach, NY
  • NPI 1407520885
  Medicare reassignment NPD
• Mental Health Services-Erie County Northwest Corporation I

  dba Envision Wellness WNY Behavioral Health

  • Mental Health Counselor
  • Kenmore, NY
  • NPI 1679698286
  NPD

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

{
    "created_epoch": "1641772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641772800000",
    "number": "1659022804",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2495 ELMWOOD AVE",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "142172222",
            "telephone_number": "716-882-2127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL BOFRADI",
        "first_name": "ZAINAB",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-10",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Active Life Therapies LLC
• Hanaw Assad Adham, M.D.
• Advantage Dentistry
• Rachel Ahlbin, COTA
• Nagina Ahmadi, DC
• Noor Al Habib
• Alan M Antfleck Physician PLLC
• Morgan Victoria Albiani, FNP
• Sandra Christine Aldridge, L.M.T.
• Chance Alexyn, OTR/L

• Mental Health Counselor in Kenmore, NY
• Providers in Kenmore, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.