Wounded Healers

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

WOUNDED HEALERS

Practice address

2115 Peck Settlement Rd
Jamestown, NY 14701-9262

Phone

(716) 499-6418

Fax

(716) 306-4819

NPI assigned

Apr 22, 2024

Last updated

Apr 29, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Danielle Renee Pacitti, LMHCNPI 1841926185

Title

Sole Proprietor/LMHC

Phone

(716) 499-6418

Specialties & licenses 3

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Danielle Renee Pacitti, LMHC

  • Mental Health Counselor
  • Jamestown, NY
  • NPI 1841926185
  NPD Authorized official

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

{
    "created_epoch": "1713744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714348800000",
    "number": "1760237903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 PECK SETTLEMENT RD",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147019262",
            "telephone_number": "716-499-6418",
            "fax_number": "716-306-4819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 PECK SETTLEMENT RD",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147019262",
            "telephone_number": "716-499-6418",
            "fax_number": "716-306-4819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOUNDED HEALERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-22",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A",
        "authorized_official_last_name": "PACITTI",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "SOLE PROPRIETOR/LMHC",
        "authorized_official_telephone_number": "716-499-6418",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMHC",
            "identifier": "1841926185",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samuel T Wong, M.D.
• Ann M. Wood
• Martha B. Wood, RN
• Susan Marie Woollett, LCSW
• Jaylyn Worgan
• Anna Lynne Wright, OTRL
• Carol L Wright
• Disa Xayavongsone, NP
• Yan Liu, M.D., PLLC
• Joseph P Yanulevich, CRNA

• Adolescent and Children Mental Health Clinic/Center in Jamestown, NY
• Providers in Jamestown, NY by specialty
• Adolescent and Children Mental Health Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.