Debra Wrazin, LMSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

082582-1 Issued in NY

Practice address

89B River Road
North Tonawanda, NY 14120

Phone

(716) 693-9961

Fax

(716) 693-4402

NPI assigned

Feb 8, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Wild Mind Therapy PLLC

  • Clinical Social Worker
  • Wilson, NY
  • NPI 1437965100
  NPD Authorized official
• The Dale Association, Inc.

  • Mental Health Counselor
  • North Tonawanda, NY
  • NPI 1962407783
  NPD (past)

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

{
    "created_epoch": "1328659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328659200000",
    "number": "1912279779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89B RIVER ROAD",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "14120",
            "telephone_number": "716-693-9961",
            "fax_number": "716-693-4402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89B RIVER ROAD",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "14120",
            "telephone_number": "716-693-9961",
            "fax_number": "716-693-4402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRAZIN",
        "first_name": "DEBRA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-08",
        "last_updated": "2012-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "082582-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00638537",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dennis G. Winiecki, DPM
• Matthew L Withiam-Leitch, MD
• Joseph Carl Wittmann, Jr., M.D.
• Wny Internal Medicine P.C. (Wny Primary Care Medicine)
• Dina Nicole Worley, RD, CDN, CLC
• Wurlitzer Family Pharmacy Inc. (Wurlitzer Family Pharmacy)
• Wurlitzer Family Pharmacy Inc.
• Ghous A. Yasin, M.D.
• Your Healing Space LLC
• Matthew Zahn

• Mental Health Counselor in North Tonawanda, NY
• Providers in North Tonawanda, 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 Feb 8, 2012; 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.