Active NPI
Selena Stucke
- Peer Specialist
- Buffalo, NY
National Provider Identifier
1841089265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- NYCPS-P-5999
- Practice address
- 1298 Main St FL 3
Buffalo, NY 14209-1946 - Phone
- (716) 884-5797
- Fax
- (716) 882-0293
- NPI assigned
- May 2, 2025
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | NYCPS-P-5999 | NY | Primary |
Addresses
Primary practice location
1298 Main St FL 3
Buffalo, NY 14209-1946
Mailing address
227 Thorn Avenue
P.O Box 631
Buffalo, NY 14209-1946
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 |
|---|---|---|---|
| NYCPS-P-5999 | NY | MD | Peer Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Erie County South East Corp V | Current | Accepting new patients |
Locations
1298 Main St
Fl 3
Buffalo, NY 14209
Phone (716) 884-5797
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
- West Seneca, NY
- NPI 1487601837
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1746144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746144000000",
"number": "1841089265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "227 THORN AVENUE",
"address_2": "P.O BOX 631",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142091946",
"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": "1298 MAIN ST FL 3",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142091946",
"telephone_number": "716-884-5797",
"fax_number": "716-882-0293"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STUCKE",
"first_name": "SELENA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-05-02",
"last_updated": "2025-05-02",
"certification_date": "2025-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "NY",
"license": "NYCPS-P-5999",
"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 May 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.