Michael Reardon, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

000706 Issued in NY

Practice address

987 RC Hoag Drive, Lionel R John Health Center
Salamanca, NY 14779-1365

Phone

(716) 945-9001

Fax

(716) 945-0790

NPI assigned

Jan 25, 2017

Sex

Male

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

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

Specialty

Mental Health Counselor

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Seneca Nation of IndiansGroup PAC ID 8123920592, 29 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Seneca Nation of Indians

  • Federally Qualified Health Center (FQHC)
  • Salamanca, NY
  • NPI 1023033511
  Medicare reassignment Care Compare group NPD
• Seneca Nation of Indians

  • Land Ambulance
  • Irving, NY
  • NPI 1982231890
  NPD
• Seneca Nation of Indians

  dba Lionel R John Health Center

  • Federally Qualified Health Center (FQHC)
  • Salamanca, NY
  • NPI 1609882976
  NPD (past)

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

{
    "created_epoch": "1485302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485302400000",
    "number": "1861939100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "987 RC HOAG DRIVE, LIONEL R JOHN HEALTH CENTER",
            "city": "SALAMANCA",
            "state": "NY",
            "postal_code": "147791365",
            "telephone_number": "716-945-9001",
            "fax_number": "716-945-0790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "987 RC HOAG DRIVE, LIONEL R JOHN HEALTH CENTER",
            "city": "SALAMANCA",
            "state": "NY",
            "postal_code": "147791365",
            "telephone_number": "716-945-9001",
            "fax_number": "716-945-0790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REARDON",
        "first_name": "MICHAEL",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-01-25",
        "last_updated": "2017-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "000706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Perry, MD
• Victoria Florence Petherick, LCSW
• Sarah Pinchoff, MSW
• J Nicholas Porcello, DDS
• Lori Ann Quigley
• Jenna M Ring, N.P.
• Rite Aid of New York Inc (Rite Aid Pharmacy 00868)
• Kathrin Elizabeth Rogers, LMSW
• Anthony Rovito Jr.
• Salamanca City Central School District

• Mental Health Counselor in Salamanca, NY
• Providers in Salamanca, 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 Jan 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.