Active NPI
Chance Olivas
- Mental Health Counselor
- Williamsville, NY
National Provider Identifier
1770314924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 014856-01
- Practice address
- 5574 Main St
Williamsville, NY 14221-5452 - Phone
- (631) 316-9122
- NPI assigned
- Aug 9, 2024
- Last updated
- Aug 9, 2024
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 014856-01 | NY | Primary |
Addresses
Primary practice location
5574 Main St
Williamsville, NY 14221-5452
Mailing address
312 S 4TH St Uppr
Olean, NY 14760-3517
Phone (631) 316-9122
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 014856-01 | NY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723161600000",
"number": "1770314924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "312 S 4TH ST UPPR",
"city": "OLEAN",
"state": "NY",
"postal_code": "147603517",
"telephone_number": "631-316-9122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5574 MAIN ST",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142215452",
"telephone_number": "631-316-9122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLIVAS",
"first_name": "CHANCE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-08-09",
"last_updated": "2024-08-09",
"certification_date": "2024-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "014856-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Williamsville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.