Nicole Marie Buffolino, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

007902 Issued in NY

Practice address

3330 Park Ave
Wantagh, NY 11793-3719

Phone

(516) 730-3447

NPI assigned

May 26, 2017

Last updated

Jun 20, 2019By the provider in NPPES

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Laura Haas LCSW & Associates

  • Clinical Social Worker
  • N Massapequa, NY
  • NPI 1164821435
  NPD (past)

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

{
    "created_epoch": "1495756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560988800000",
    "number": "1912435504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 CREST RD W",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115661412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 PARK AVE",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117933719",
            "telephone_number": "516-730-3447"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 N Delaware Ave",
            "address_purpose": "LOCATION",
            "city": "Massapequa",
            "state": "NY",
            "postal_code": "117581869",
            "country_code": "US",
            "telephone_number": "516-753-3691",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUFFOLINO",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-26",
        "last_updated": "2019-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "007902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Brown, LMHC, CASAC
• Susan Marie Browne, MS, CCC-SLP
• Ashley Rose Browning
• Christie Marie Brulhardt, MSED, CASAC-T
• Marianne Elizabeth Brulhardt, NPP
• Jamie Bunsis
• Amanda Denise Buonora, P.T.
• David M Burgess, LMSW
• Christine A Burrows, MS
• Patrick Butler, MS

• Mental Health Counselor in Wantagh, NY
• Providers in Wantagh, 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 Jun 20, 2019; 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.