Active NPI
Crystal Wilczak
- School Counselor
- Buffalo, NY
National Provider Identifier
1821415134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Counselor
- Practice address
- 1325 Main St
Buffalo, NY 14209-1988 - Phone
- (716) 335-7384
- Fax
- (716) 881-0652
- NPI assigned
- Mar 25, 2014
- Sex
- Female
- 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 |
|---|---|---|---|---|
| School Counselor | 101YS0200X | Primary |
Addresses
Primary practice location
1325 Main St
Buffalo, NY 14209-1988
Mailing address
330 Delaware Ave
Buffalo, NY 14202-1804
Phone (716) 335-7384
Other names 1
- Crystal Giammarise
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Child and Family Services | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Buffalo, NY
- NPI 1982950564
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395705600000",
"number": "1821415134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 DELAWARE AVE",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142021804",
"telephone_number": "716-335-7384",
"fax_number": "716-881-0652"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1325 MAIN ST",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142091988",
"telephone_number": "716-335-7384",
"fax_number": "716-881-0652"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILCZAK",
"first_name": "CRYSTAL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-03-25",
"last_updated": "2014-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CRYSTAL",
"last_name": "GIAMMARISE",
"code": "5",
"type": "Other Name"
}
]
}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 Mar 25, 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.