Active NPI
Amanda Serena
- Counselor
- Buffalo, NY
National Provider Identifier
1720743511
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 699 Hertel Ave Ste 350
Buffalo, NY 14207-2341 - Phone
- (716) 831-1977
- NPI assigned
- Nov 5, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
699 Hertel Ave Ste 350
Buffalo, NY 14207-2341
Mailing address
55 Dodge Rd
Getzville, NY 14068-1205
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 24, 2025 through Feb 24, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Horizon Health Services Inc | Current | Accepting new patients |
Locations
699 Hertel Ave
Ste 350
Buffalo, NY 14207
Phone (716) 831-1977
55 Dodge Rd
Getzville, NY 14068
Phone (716) 650-5100
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HEGDAA
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Getzville, NY
- NPI 1043387152
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637020800000",
"number": "1720743511",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 DODGE RD",
"city": "GETZVILLE",
"state": "NY",
"postal_code": "140681205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "699 HERTEL AVE STE 350",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142072341",
"telephone_number": "716-831-1977"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SERENA",
"first_name": "AMANDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-05",
"last_updated": "2021-11-16",
"certification_date": "2021-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"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 Nov 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.