NPIMap

Organization Active NPI

County of Niagara

Doing business as Niagara County Adult Mental Health Clinic Niagara Falls

  • Community/Behavioral Health Agency
  • Niagara Falls, NV
National Provider Identifier
1841340569
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
COUNTY OF NIAGARA
Doing business as
Niagara County Adult Mental Health Clinic Niagara Falls
Practice address
1001 Eleventh Street
Trott Access Center
Niagara Falls, NV 14301
Phone
(716) 278-1940
Fax
(716) 278-1943
NPI assigned
Jan 12, 2007
Last updated
Jul 22, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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

Authorized official

Name
Laura Keleman
Title
Direct of Mental Health
Phone
(716) 439-7410

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

1001 Eleventh Street
Trott Access Center
Niagara Falls, NV 14301

Mailing address

1001 Eleventh Street
Room 2021 Trott Access Center
Niagara Falls, NV 14301
Phone (716) 278-1940

Other identifiers 3

IdentifierTypeStateIssuer
00618777MedicaidNY
6308704OtherINDEPENDENT HEALTH
000512086003OtherBLUE CROSS BLUE SHIELD CB

Other names 1

  • Niagara County Adult Mental Health Clinic Niagara Falls Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040802001606 NY Part B Supplier - Clinic/Group Practice 4587640446 Receives reassigned benefits from 22 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Niagara Falls, NY; Lockport, NY

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

  • County of Niagara

    dba Niagara County Department of Health

    • Public Health or Welfare Agency
    • Niagara Falls, NY
    • NPI 1417292020

    O20040802001606

    Same enrollment
  • County of Niagara

    dba Niagara County Department of Mental Health Lockport

    • Community/Behavioral Health Agency
    • Lockport, NY
    • NPI 1891832879

    O20040802001606

    Same enrollment

National Provider Directory

National Provider Directory
Tax ID family
Niagara County Healht Department12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

1001 11th St
Rm 2021
Niagara Falls, NY 14301

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721606400000",
    "number": "1841340569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 ELEVENTH STREET",
            "address_2": "ROOM 2021 TROTT ACCESS CENTER",
            "city": "NIAGARA FALLS",
            "state": "NV",
            "postal_code": "14301",
            "telephone_number": "716-278-1940",
            "fax_number": "716-278-1943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 ELEVENTH STREET",
            "address_2": "TROTT ACCESS CENTER",
            "city": "NIAGARA FALLS",
            "state": "NV",
            "postal_code": "14301",
            "telephone_number": "716-278-1940",
            "fax_number": "716-278-1943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF NIAGARA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A",
        "authorized_official_last_name": "KELEMAN",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "DIRECT OF MENTAL HEALTH",
        "authorized_official_telephone_number": "716-439-7410"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00618777",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "6308704",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD CB",
            "identifier": "000512086003",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Niagara County Adult Mental Health Clinic Niagara Falls",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.