Active NPI
Nicole Marie Ferguson, MFT-P
- Marriage & Family Therapist
- Depew, NY
National Provider Identifier
1659158368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- P118960
- Practice address
- 2478 George Urban Blvd
Depew, NY 14043-2010 - Phone
- (716) 601-6220
- NPI assigned
- Sep 14, 2023
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | P118960 | NY | Primary |
Addresses
Primary practice location
2478 George Urban Blvd
Depew, NY 14043-2010
Mailing address
473 N Division St
Buffalo, NY 14204-1976
Phone (716) 536-5051
Other names 1
- Nicole M Robinson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P118960 | NY | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kelly M McCall LCSW, PLLC | Current | Accepting new patients |
Locations
2478 George Urban Blvd
Depew, NY 14043
Phone (716) 440-7165
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.
-
- Clinical Social Worker
- Depew, NY
- NPI 1396292413
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694649600000",
"number": "1659158368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "473 N DIVISION ST",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142041976",
"telephone_number": "716-536-5051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2478 GEORGE URBAN BLVD",
"city": "DEPEW",
"state": "NY",
"postal_code": "140432010",
"telephone_number": "716-601-6220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERGUSON",
"first_name": "NICOLE",
"middle_name": "MARIE",
"credential": "MFT-P",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-14",
"last_updated": "2023-09-14",
"certification_date": "2023-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NY",
"license": "P118960",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NICOLE",
"last_name": "ROBINSON",
"middle_name": "M",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Depew, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.