Individual provider Active NPI

Nicole Hynes, LMHC

  • Mental Health Counselor
  • Buffalo, NY
National Provider Identifier
1659705887
Registry record updated May 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
006183-1 Issued in NY
Practice address
1500 Broadway St
Buffalo, NY 14212-1845
Phone
(716) 422-2002
Fax
(716) 893-0128
NPI assigned
Aug 23, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Mental Health Counselor 101YM0800X 006183-1 NY Primary

Addresses

Primary practice location

1500 Broadway St
Buffalo, NY 14212-1845

Mailing address

1412 Sweet Home Rd Ste 3-5
Amherst, NY 14228-2795
Phone (716) 422-2002

Other practice location 1

20 Rich St
Buffalo, NY 14211-3020
Phone (716) 895-7715

Other practice location 2

162 Main St
Hamburg, NY 14075-4917
Phone (716) 400-1847

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

LicenseStateTypeSpecialty
006183-1NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Charities of Buffalo PastSince Feb 8, 1999 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": "1377216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621900800000",
    "number": "1659705887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1412 SWEET HOME RD STE 3-5",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142282795",
            "telephone_number": "716-422-2002",
            "fax_number": "716-893-0128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 BROADWAY ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142121845",
            "telephone_number": "716-422-2002",
            "fax_number": "716-893-0128"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 Rich St",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142113020",
            "country_code": "US",
            "telephone_number": "716-895-7715",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "162 Main St",
            "address_purpose": "LOCATION",
            "city": "Hamburg",
            "state": "NY",
            "postal_code": "140754917",
            "country_code": "US",
            "telephone_number": "716-400-1847",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HYNES",
        "first_name": "NICOLE",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-23",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "006183-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.