Individual provider Active NPI

Mary Gangl, LMHC

  • Mental Health Counselor
  • Amherst, NY
National Provider Identifier
1912445529
Registry record updated Feb 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
007656 Issued in NY
Practice address
4985 Harlem Rd
Amherst, NY 14226-2544
Phone
(716) 839-0500
Fax
(716) 938-0523
NPI assigned
Feb 2, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2017

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 007656 NY Primary

Addresses

Primary practice location

4985 Harlem Rd
Amherst, NY 14226-2544

Mailing address

4985 Harlem Rd
Amherst, NY 14226-2544
Phone (716) 839-0500

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": "1485993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485993600000",
    "number": "1912445529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4985 HARLEM RD",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142262544",
            "telephone_number": "716-839-0500",
            "fax_number": "716-938-0523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4985 HARLEM RD",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142262544",
            "telephone_number": "716-839-0500",
            "fax_number": "716-938-0523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANGL",
        "first_name": "MARY",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-02",
        "last_updated": "2017-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "007656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amherst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2017; 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.