Susan Bray Jenczka, LCPC, LCAT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

CC1874 Issued in ME

Practice address

6 Mapleview Rd
Cheektowaga, NY 14225-1531

Phone

(716) 270-3172

NPI assigned

Jun 8, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Susan Bray Wesley Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1591574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591574400000",
    "number": "1669097424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 MAPLEVIEW RD",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142251531",
            "telephone_number": "716-270-3172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 MAPLEVIEW RD",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142251531",
            "telephone_number": "716-270-3172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENCZKA",
        "first_name": "SUSAN",
        "middle_name": "BRAY",
        "credential": "LCPC, LCAT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-08",
        "last_updated": "2020-06-08",
        "certification_date": "2020-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ME",
            "license": "CC1874",
            "primary": true
        },
        {
            "code": "225A00000X",
            "taxonomy_group": "",
            "desc": "Music Therapist",
            "state": "NY",
            "license": "001851-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "WESLEY",
            "middle_name": "BRAY",
            "credential": "LCPC, LCAT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kathleen L Jankowski
• Andrew Januska, PT
• Madisyn P Jaszcz, BCBA
• Dylan E Jay, ATC, CSCS
• Brenda Jeffries-Silmon, LPN
• Yvonne Jenkins, LPN
• Danielle Klute Jennings, LMSW
• Susan J Jesella, PT
• John a. Brach, MD, PC
• John B. Wiles, M.D., P.C.

• Mental Health Counselor in Cheektowaga, NY
• Providers in Cheektowaga, 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 Jun 8, 2020; 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.