Active NPI
Alexis Kashmer
- Mental Health Counselor
- Fredonia, NY
National Provider Identifier
1679931737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 009792
- Practice address
- 355 Central Avenue
Fredonia, NY 14063 - Phone
- (716) 672-6117
- Fax
- (716) 672-6120
- NPI assigned
- Feb 4, 2016
- Last updated
- Dec 6, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 009792 | NY | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
355 Central Avenue
Fredonia, NY 14063
Mailing address
400 Forest Avenue
Buffalo, NY 14213
Phone (716) 885-2261
Other names 1
- Alexis Perez
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240416000364 | NY | Order and Referring Only - Mental Health Counselor | 9234578816 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009792 | NY | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701820800000",
"number": "1679931737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 FOREST AVENUE",
"city": "BUFFALO",
"state": "NY",
"postal_code": "14213",
"telephone_number": "716-885-2261",
"fax_number": "716-885-0710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "355 CENTRAL AVENUE",
"city": "FREDONIA",
"state": "NY",
"postal_code": "14063",
"telephone_number": "716-672-6117",
"fax_number": "716-672-6120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KASHMER",
"first_name": "ALEXIS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-04",
"last_updated": "2023-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "009792",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ALEXIS",
"last_name": "PEREZ",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fredonia, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.