Individual provider Active NPI

Nicholas Fronczak, LMHC

  • Mental Health Counselor
  • Buffalo, NY
National Provider Identifier
1881326783
Registry record updated Jun 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
012553 Issued in NY
Practice address
12 Capen Hall
Buffalo, NY 14260-1609
Phone
(662) 071-6245
NPI assigned
Jun 29, 2022
Last updated
Jun 29, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2022

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 012553 NY Primary

Addresses

Primary practice location

12 Capen Hall
Buffalo, NY 14260-1609

Mailing address

2655 Millersport Hwy Unit 259
Getzville, NY 14068-7010
Phone (716) 245-6620

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://nicholas-fronczak.clientsecure.me Direct

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
012553NYMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1656460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656460800000",
    "number": "1881326783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2655 MILLERSPORT HWY UNIT 259",
            "city": "GETZVILLE",
            "state": "NY",
            "postal_code": "140687010",
            "telephone_number": "716-245-6620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 CAPEN HALL",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142601609",
            "telephone_number": "662-071-6245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRONCZAK",
        "first_name": "NICHOLAS",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-29",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "012553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://nicholas-fronczak.clientsecure.me",
            "affiliation": "N",
            "endpointDescription": "Client Information Portal",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Documentation",
            "address_1": "12 Capen Hall",
            "city": "Buffalo",
            "state": "NY",
            "country_code": "US",
            "postal_code": "142601609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jun 29, 2022; 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.