Individual provider Active NPI

Timothy M Pieczonka, MA

  • Mental Health Counselor
  • Amherst, NY
National Provider Identifier
1851617849
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
005833 Issued in NY
Practice address
636 N French Rd Ste 7
Amherst, NY 14228-1900
Phone
(716) 278-4594
NPI assigned
Apr 15, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 005833 NY Primary

Addresses

Primary practice location

636 N French Rd Ste 7
Amherst, NY 14228-1900

Mailing address

636 N French Rd Ste 7
Buffalo, NY 14228-1900
Phone (716) 278-4594

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240429000551 NY Practitioner - Mental Health Counselor 7911347679 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Counseling of Niagara County PLLC CurrentSince Mar 17, 2024 Accepting new patients

Locations

636 N French Rd
Ste 7
Buffalo, NY 14228
Phone (716) 278-4594

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.

NPI Registry JSON

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

{
    "created_epoch": "1271289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1851617849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "636 N FRENCH RD STE 7",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142281900",
            "telephone_number": "716-278-4594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "636 N FRENCH RD STE 7",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142281900",
            "telephone_number": "716-278-4594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIECZONKA",
        "first_name": "TIMOTHY",
        "middle_name": "M",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-15",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "005833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amherst, NY

Sources for this page

Verify at the official NPI Registry.