Angela Docenko
Individual provider Active NPI Mental Health Counselor · Getzville, NY
NPI 1720504129 · NPPES record last updated Mar 7, 2023
Key facts
- NPI
- 1720504129
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 010656-01 (NY)
- Practice address
- 55 Dodge Rd
Getzville, NY 14068-1205 - Phone
- (716) 650-5100
- NPI assigned
- Aug 17, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Horizon Health Services Inc
Practice addresses (Care Compare)
55 Dodge Rd
Getzville, NY 14068-1205
Phone (716) 650-5100
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240116000457 | NY | Practitioner - Mental Health Counselor | 0941652945 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010656-01 | NY | MD | Mental Health Counselor |
| 010656 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Horizon Health Services Inc | Current |
Accepting new patients |
Locations
3020 Bailey Ave
Cheektowaga, NY 14215
Phone (716) 831-0200
55 Dodge Rd
Getzville, NY 14068
Phone (716) 650-5100
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HEGDAA
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 010656-01 | NY | Yes |
Addresses
Primary practice location
55 Dodge Rd
Getzville, NY 14068-1205
Mailing address
55 Dodge Rd
Getzville, NY 14068-1205
Phone (716) 831-2700
Other providers in Getzville, NY
- Mariah M Demmin
- Brenden Kyle Diaz
- Megan Nichole Diaz
- Kathryn Digennaro
- Brittany Distefano
- Bom Dokko
- Robyn Irene Donhauser
- Mariah Doucette
- Jeffrey Drake Jr.
- Hannah Carley Dreger
All providers in Getzville, 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 Mar 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.