Organization Active NPI

City of Buffalo Division of Substance Abuse

  • Addiction (Substance Use Disorder) Counselor
  • Buffalo, NY
National Provider Identifier
1861604613
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
CITY OF BUFFALO DIVISION OF SUBSTANCE ABUSE
Practice address
191 North St
Suite 110
Buffalo, NY 14201-1510
Phone
(716) 886-2137
NPI assigned
May 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jill White
Title
Reimbursement Specialist
Phone
(716) 886-2137

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YA0400X NY Primary

Addresses

Primary practice location

191 North St
Suite 110
Buffalo, NY 14201-1510

Mailing address

191 North St
Suite 110
Buffalo, NY 14201-1510
Phone (716) 886-2137

Other identifiers 1

IdentifierTypeStateIssuer
00752823MedicaidNY

National Provider Directory

National Provider Directory

Locations

191 North St
Ste 110
Buffalo, NY 14201
Phone (716) 886-2137

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861604613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 NORTH ST",
            "address_2": "SUITE 110",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142011510",
            "telephone_number": "716-886-2137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 NORTH ST",
            "address_2": "SUITE 110",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142011510",
            "telephone_number": "716-886-2137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF BUFFALO DIVISION OF SUBSTANCE ABUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "REIMBURSEMENT SPECIALIST",
        "authorized_official_telephone_number": "716-886-2137"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00752823",
            "state": "NY"
        }
    ],
    "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 Aug 22, 2020; 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.