Jessica Whitley, MHC
Individual provider Active NPI Mental Health Counselor · Newfane, NY
NPI 1669923009 · NPPES record last updated Jan 25, 2024
Key facts
- NPI
- 1669923009
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 2731 Main St
Newfane, NY 14108-1203 - Phone
- (716) 383-8864
- NPI assigned
- Oct 20, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catholic Charities of Buffalo | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 008239 | NY | |
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
2731 Main St
Newfane, NY 14108-1203
Mailing address
2731 Main St
Newfane, NY 14108-1203
Phone (716) 383-8864
Other providers in Newfane, NY
- David L Stein
- John Syracuse
- Regina M Syracuse
- Iqbal Walia
- Caitlin Lurana Weber
- Jacob Yaple
- Yong B. CHI, M.D., P.L.L.C.
- Elizabeth Anne Zastrow
All providers in Newfane, NY · Mental Health Counselor in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 25, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.