Wadeline Theodore, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

009939 Issued in NY

Practice address

295 Main St RM 1083
Buffalo, NY 14203-2510

Phone

(716) 517-4297

Fax

(716) 259-9035

NPI assigned

Feb 19, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Theodore Mental Health Counseling, PLLC

  • Mental Health Counselor
  • Buffalo, NY
  • NPI 1043991466
  NPD Authorized official

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

{
    "created_epoch": "1550534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1841756442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 NIAGARA ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142132001",
            "telephone_number": "716-856-2587",
            "fax_number": "716-856-2608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 MAIN ST RM 1083",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142032510",
            "telephone_number": "716-517-4297",
            "fax_number": "716-259-9035"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Center Rd",
            "address_purpose": "LOCATION",
            "city": "West Seneca",
            "state": "NY",
            "postal_code": "142241946",
            "country_code": "US",
            "telephone_number": "716-280-9214",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "430 Niagara St",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142011886",
            "country_code": "US",
            "telephone_number": "716-856-2587",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1050 Niagara St",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142132001",
            "country_code": "US",
            "telephone_number": "716-710-4393",
            "fax_number": "716-856-2608",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THEODORE",
        "first_name": "WADELINE",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-19",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "009939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Smart Pill
• The Spec Shop
• The Spec Shop Ophthalmic Dispenser, PLLC
• The Wellness Institute of Greater Buffalo and Western New York, Inc.
• Theodore Mental Health Counseling, PLLC
• Danielle Marie Thesier, M.D.
• Sharavanan Thevanayagam, M.D.
• Carrie E Thiel, MA CCCSLP
• Caitlin Thill
• Veronica Ann Thimot, RN

• Mental Health Counselor in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.