Active NPI
Amy Lee Hackett
- Mental Health Counselor
- Hamburg, NY
National Provider Identifier
1841573136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 7062
- Practice address
- 140 Pine St
Hamburg, NY 14075 - Phone
- (716) 646-4991
- Fax
- (716) 646-4990
- NPI assigned
- Sep 22, 2011
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 7062 | NY | Primary |
Addresses
Primary practice location
140 Pine St
Hamburg, NY 14075
Mailing address
16 Northridge Dr
Arcade, NY 14009-1028
Phone (585) 969-2910
Other practice location 1
4211 N Buffalo Rd Ste 4
Orchard Park, NY 14127-2401
Phone (716) 539-0041
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7062 | NY | MD | Mental Health Counselor |
| 007062 | NY | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Your Story Mental Health Counseling, PLLC | Current | Accepting new patients |
Locations
4211 N Buffalo Rd
Ste 4
Orchard Park, NY 14127
Phone (716) 539-0041
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Orchard Park, NY
- NPI 1841062031
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700438400000",
"number": "1841573136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 NORTHRIDGE DR",
"city": "ARCADE",
"state": "NY",
"postal_code": "140091028",
"telephone_number": "585-969-2910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 PINE ST",
"city": "HAMBURG",
"state": "NY",
"postal_code": "14075",
"telephone_number": "716-646-4991",
"fax_number": "716-646-4990"
}
],
"practiceLocations": [
{
"address_1": "4211 N Buffalo Rd Ste 4",
"address_purpose": "LOCATION",
"city": "Orchard Park",
"state": "NY",
"postal_code": "141272401",
"country_code": "US",
"telephone_number": "716-539-0041",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HACKETT",
"first_name": "AMY",
"middle_name": "LEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-22",
"last_updated": "2023-11-20",
"certification_date": "2023-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "7062",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hamburg, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.