Individual provider Active NPI

Aaron J. Rosenbaum

  • Mental Health Counselor
  • Williamsville, NY
National Provider Identifier
1720422710
Registry record updated Oct 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
082130 Issued in NY
Practice address
531 Farber Lakes Dr
Williamsville, NY 14221-5773
Phone
(716) 632-5450
NPI assigned
Apr 22, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2014

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 082130 NY Primary

Addresses

Primary practice location

531 Farber Lakes Dr
Williamsville, NY 14221-5773

Mailing address

173 Altruria St
Buffalo, NY 14220-1859
Phone (716) 361-6792

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160119000746 NY Practitioner - Clinical Social Worker 4789987165 Reassigns benefits to 1 organization
Practice locations: Buffalo, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
State University of New York at Buffalo School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

381 Kenmore Ave
Buffalo, NY 14223-2861
Phone (716) 361-6792

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
082130NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Brylin Hospitals, Inc. CurrentSince Aug 14, 2015 Accepting new patients
Sanctuary Counseling Inc Current Accepting new patients

Locations

381 Kenmore Ave
Tonawanda, NY 14223
Phone (716) 291-0059

531 Farber Lakes Dr
Williamsville, NY 14221
Phone (716) 632-1595

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": "1366588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412726400000",
    "number": "1720422710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "173 ALTRURIA ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142201859",
            "telephone_number": "716-361-6792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 FARBER LAKES DR",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142215773",
            "telephone_number": "716-632-5450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBAUM",
        "first_name": "AARON",
        "middle_name": "J.",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-22",
        "last_updated": "2014-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "082130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

Verify at the official NPI Registry.