Individual provider Active NPI

Alexandra Lynn Grzywna, M.S.ED, LMHC-P

  • Mental Health Counselor
  • Buffalo, NY
National Provider Identifier
1710525076
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
18-P117114-01 Issued in NY
Practice address
20 Rich St
Buffalo, NY 14211-3020
Phone
(716) 895-7715
NPI assigned
Dec 18, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 18-P117114-01 NY Primary

Addresses

Primary practice location

20 Rich St
Buffalo, NY 14211-3020

Mailing address

608 Crescent Ave
East Aurora, NY 14052-2904
Phone (716) 207-0278

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

State licenses

LicenseStateTypeSpecialty
18-P117114-01NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Charities of Buffalo CurrentSince May 19, 2024 Accepting new patients
Cantalician Center for Learning, Inc. PastSince Dec 1, 2019 Accepting new patients

Locations

20 Rich St
Buffalo, NY 14211
Phone (716) 895-7715

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1576627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1710525076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 CRESCENT AVE",
            "city": "EAST AURORA",
            "state": "NY",
            "postal_code": "140522904",
            "telephone_number": "716-207-0278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 RICH ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142113020",
            "telephone_number": "716-895-7715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRZYWNA",
        "first_name": "ALEXANDRA",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "M.S.ED, LMHC-P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-18",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "18-P117114-01",
            "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 May 15, 2024; 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.