Organization Active NPI

Your Story Mental Health Counseling, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Orchard Park, NY
National Provider Identifier
1841062031
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
YOUR STORY MENTAL HEALTH COUNSELING, PLLC
Practice address
4211 N Buffalo Rd Ste 4
Orchard Park, NY 14127-2401
Phone
(716) 539-0041
NPI assigned
Oct 23, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

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

Authorized official

Name
Ms. Amy Lee Hackett, LMHCNPI 1841573136
Title
Owner
Phone
(716) 539-0041

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

4211 N Buffalo Rd Ste 4
Orchard Park, NY 14127-2401

Mailing address

4211 N Buffalo Rd Ste 4
Orchard Park, NY 14127-2401
Phone (716) 539-0041

National Provider Directory

National Provider Directory

Locations

4211 N Buffalo Rd
Ste 4
Orchard Park, NY 14127
Phone (716) 539-0041

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1698019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698019200000",
    "number": "1841062031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4211 N BUFFALO RD STE 4",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141272401",
            "telephone_number": "716-539-0041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4211 N BUFFALO RD STE 4",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141272401",
            "telephone_number": "716-539-0041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR STORY MENTAL HEALTH COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-23",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A",
        "authorized_official_last_name": "HACKETT",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-539-0041",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orchard Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; 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.