Active NPI
Jarod Wabick
- Mental Health Counselor
- Buffalo, NY
National Provider Identifier
1770922189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- P95022
- Practice address
- 2040 Seneca St
Buffalo, NY 14210-2324 - Phone
- (716) 828-0560
- Fax
- (716) 828-1522
- NPI assigned
- Jun 19, 2013
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | P95022 | NY | Primary |
Addresses
Primary practice location
2040 Seneca St
Buffalo, NY 14210-2324
Mailing address
227 Thorn Ave
Orchard Park, NY 14127-2600
Phone (716) 662-2040
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 |
|---|---|---|---|
| P95022 | NY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412726400000",
"number": "1770922189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "227 THORN AVE",
"city": "ORCHARD PARK",
"state": "NY",
"postal_code": "141272600",
"telephone_number": "716-662-2040",
"fax_number": "716-662-0019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2040 SENECA ST",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142102324",
"telephone_number": "716-828-0560",
"fax_number": "716-828-1522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WABICK",
"first_name": "JAROD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-06-19",
"last_updated": "2014-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "P95022",
"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 Oct 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.