Individual provider Active NPI

Victoria Blinn

  • Mental Health Counselor
  • Olean, NY
National Provider Identifier
1750047494
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
015932 Issued in NY
Practice address
1 Leo Moss Dr Ste 4308
Olean, NY 14760-1100
Phone
(716) 373-8040
Fax
(706) 701-3729
NPI assigned
Nov 16, 2021
Last updated
Aug 19, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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 015932 NY Primary

Addresses

Primary practice location

1 Leo Moss Dr Ste 4308
Olean, NY 14760-1100

Mailing address

1 Leo Moss Dr Ste 4308
Olean, NY 14760-1100
Phone (716) 373-8040

Other identifiers 1

IdentifierTypeStateIssuer
00635098MedicaidNY

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
I20250627001463 NY Practitioner - Mental Health Counselor 8729591359 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of CattaraugusGroup PAC ID 3375455124, 10 clinicians

Practice addresses (Care Compare)

1 Leo Moss Dr
Suite 4308
Olean, NY 14760-1100
Phone (716) 373-8040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
County of Cattaraugus County Treasurer CurrentSince Apr 3, 2025 Accepting new patients
County of Cattaraugus Mental Health CurrentSince Apr 3, 2025 Accepting new patients

Locations

1 Leo Moss Dr
Ste 4308
Olean, NY 14760
Phone (716) 373-8040

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1637020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787097600000",
    "number": "1750047494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 LEO MOSS DR STE 4308",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "147601100",
            "telephone_number": "716-373-8040",
            "fax_number": "706-701-3729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 LEO MOSS DR STE 4308",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "147601100",
            "telephone_number": "716-373-8040",
            "fax_number": "706-701-3729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLINN",
        "first_name": "VICTORIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-16",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "015932",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00635098",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Olean, NY

Sources for this page

Verify at the official NPI Registry.