NPIMap

Organization Active NPI

Church Mission of Help of Western New York Inc

  • Mental Health Counselor
  • Buffalo, NY
National Provider Identifier
1700930955
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
CHURCH MISSION OF HELP OF WESTERN NEW YORK INC
Practice address
153 W Utica St
Buffalo, NY 14222-2017
Phone
(716) 884-7569
Fax
(716) 884-4087
NPI assigned
Jan 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2022

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

Authorized official

Name
Mr. Andrew J Mattle, LMHCNPI 1871975409
Title
Executive Director
Phone
(716) 884-7569

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X NY Primary

Addresses

Primary practice location

153 W Utica St
Buffalo, NY 14222-2017

Mailing address

153 W Utica St
Buffalo, NY 14222-2017
Phone (716) 884-7569

Other names 1

  • CMH Counseling of WNY, Inc Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040301000393 NY Part B Supplier - Clinic/Group Practice 9931013059 Receives reassigned benefits from 12 practitioners
Practice locations: Buffalo, NY

National Provider Directory

National Provider Directory

Locations

153 W Utica St
Buffalo, NY 14222
Phone (716) 884-4087

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660521600000",
    "number": "1700930955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 W UTICA ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142222017",
            "telephone_number": "716-884-7569",
            "fax_number": "716-884-4087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 W UTICA ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142222017",
            "telephone_number": "716-884-7569",
            "fax_number": "716-884-4087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHURCH MISSION OF HELP OF WESTERN NEW YORK INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A",
        "authorized_official_last_name": "MATTLE",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "716-884-7569",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CMH Counseling of WNY, Inc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CMH Counseling of WNY, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.