Jessica Kubiak

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

P09993 Issued in NY

Practice address

620 Tronolone PL
Niagara Falls, NY 14301-1910

Phone

(716) 205-0825

NPI assigned

Sep 24, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jessicastelter@tdh.allscriptsdirect.net

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.

• Catholic Charities of Buffalo

  • Community/Behavioral Health Agency
  • Buffalo, NY
  • NPI 1962596718
  NPD
• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Mental Health

  NPD
• Rothschild Mental Health Counseling PLLC

  • Mental Health Counselor
  • Brooklyn, NY
  • NPI 1427455971
  NPD (past)

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

{
    "created_epoch": "1569283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1790336428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 82ND ST",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143042306",
            "telephone_number": "716-994-7412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 TRONOLONE PL",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143011910",
            "telephone_number": "716-205-0825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUBIAK",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-24",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "P09993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard John Krecisz, P.T
• Tara M Krisch
• Karen Marie Krug, RN
• Susan Renee Krull, CNA, PCA, HHA
• Peter E Krysztof, PT, DPT
• Michael L Kudla, PT
• Colleen M Kurtz, RPA-C
• Jamie Kurvinik-Belding, BSW
• Victoria Mary Jane Kustra
• Emma Kutlina, RN

• Mental Health Counselor in Niagara Falls, NY
• Providers in Niagara Falls, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.