Active NPI
Kelly Lynn Delzer
- Rehabilitation Counselor
- Lackawanna, NY
National Provider Identifier
1891986295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Counselor
- Practice address
- 2600 S Park Ave
Parkview Center
Lackawanna, NY 14218 - Phone
- (716) 822-2117
- Fax
- (716) 822-8165
- NPI assigned
- Aug 9, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Counselor | 225C00000X | Primary |
Addresses
Primary practice location
2600 S Park Ave
Parkview Center
Lackawanna, NY 14218
Mailing address
254 Franklin St
Lake Shore Behavioral Health
Buffalo, NY 14202-1954
Phone (716) 842-0440
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186617600000",
"number": "1891986295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "254 FRANKLIN ST",
"address_2": "LAKE SHORE BEHAVIORAL HEALTH",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142021954",
"telephone_number": "716-842-0440",
"fax_number": "716-842-4069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 S PARK AVE",
"address_2": "PARKVIEW CENTER",
"city": "LACKAWANNA",
"state": "NY",
"postal_code": "14218",
"telephone_number": "716-822-2117",
"fax_number": "716-822-8165"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELZER",
"first_name": "KELLY",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-09",
"last_updated": "2007-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "225C00000X",
"taxonomy_group": "",
"desc": "Rehabilitation Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lackawanna, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.