Individual provider Active NPI

Kimberley M Zittel-Barr, PH.D., LMSW

  • Social Worker
  • Buffalo, NY
National Provider Identifier
1669361341
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
049672 Issued in NY
Practice address
Mobile Counseling of New York
14 Lafayette Square, Suite 2300
Buffalo, NY 14203
Phone
(716) 491-9696
NPI assigned
Jun 30, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 049672 NY
Social Worker 104100000X 049672 NY Primary

Addresses

Primary practice location

Mobile Counseling of New York
14 Lafayette Square, Suite 2300
Buffalo, NY 14203

Mailing address

164 Hoover Ave
Kenmore, NY 14217-2518
Phone (716) 491-9696

Other practice location 1

164 Hoover Ave
Kenmore, NY 14217-2518
Phone (716) 491-9696

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
049672NYMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1751241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1669361341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 HOOVER AVE",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "142172518",
            "telephone_number": "716-491-9696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MOBILE COUNSELING OF NEW YORK",
            "address_2": "14 LAFAYETTE SQUARE, SUITE 2300",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "14203",
            "telephone_number": "716-491-9696"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "164 Hoover Ave",
            "address_purpose": "LOCATION",
            "city": "Kenmore",
            "state": "NY",
            "postal_code": "142172518",
            "country_code": "US",
            "telephone_number": "716-491-9696",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZITTEL-BARR",
        "first_name": "KIMBERLEY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PH.D., LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-30",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "049672",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "049672",
            "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 Jun 30, 2025; 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.