Fazzino Mental Health Counseling, PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

FAZZINO MENTAL HEALTH COUNSELING, PLLC

Practice address

50 Dyke Rd
West Seneca, NY 14224-2514

Phone

(716) 635-5010

Fax

(716) 265-3801

NPI assigned

May 27, 2022

Last updated

May 31, 2022By 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

Jeffrey Fazzino, LMHC

Title

Licensed Mental Health Counselor

Phone

(716) 635-5010

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

{
    "created_epoch": "1653609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653955200000",
    "number": "1790423804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 DYKE RD",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142242514",
            "telephone_number": "716-635-5010",
            "fax_number": "716-265-3801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 DYKE RD",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142242514",
            "telephone_number": "716-635-5010",
            "fax_number": "716-265-3801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAZZINO MENTAL HEALTH COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-27",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A",
        "authorized_official_last_name": "FAZZINO",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "LICENSED MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "716-635-5010",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "0072511",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://secure.simplepractice.com",
            "affiliation": "N",
            "endpointDescription": "Patient/Provider Portal",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "50 Dyke Rd",
            "city": "West Seneca",
            "state": "NY",
            "country_code": "US",
            "postal_code": "142242514",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nancy Ann Fanning, RN
• Jessica M Farley
• David Joseph Farrugia Jr., M.D.
• Marissa Faso
• Youseph H Fayad, R.PH.
• Jeffrey Fazzino
• Kara Featherstone
• Matthew Federowicz
• Sarah Lynn Federowicz, PA-C
• Ashley Felber, PA-C

• Mental Health Counselor in West Seneca, NY
• Providers in West Seneca, 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 May 31, 2022; 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.