Individual provider Active NPI

Fatima Maria Westgate, LMHC

  • Mental Health Counselor
  • Medina, NY
National Provider Identifier
1922763085
Registry record updated Oct 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
011758 Issued in NY
Practice address
416 Erie St
Medina, NY 14103-1008
Phone
(716) 597-9254
NPI assigned
Nov 3, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2024

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 011758 NY Primary

Addresses

Primary practice location

416 Erie St
Medina, NY 14103-1008

Mailing address

416 East St
Medina, NY 14103
Phone (716) 597-9254

Other practice location 1

637 Davison Rd
Lockport, NY 14094-5339
Phone (716) 433-2484

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240206004126 NY Practitioner - Mental Health Counselor 2264875236 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
011758NYMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
MCCD Psychiatry Services PLLC CurrentSince Jan 1, 2024 Accepting new patients
Horizon Health Services Inc CurrentSince Aug 1, 2022 Accepting new patients

Locations

637 Davison Rd
Lockport, NY 14094
Phone (716) 433-2484

109 W 27th St
Rm 5S
New York, NY 10001
Phone (332) 230-4572

109 W 27th St
New York, NY 10001
Phone (332) 206-6054

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HEGDAA

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1635897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728086400000",
    "number": "1922763085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 EAST ST",
            "city": "MEDINA",
            "state": "NY",
            "postal_code": "14103",
            "telephone_number": "716-597-9254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 ERIE ST",
            "city": "MEDINA",
            "state": "NY",
            "postal_code": "141031008",
            "telephone_number": "716-597-9254"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "637 Davison Rd",
            "address_purpose": "LOCATION",
            "city": "Lockport",
            "state": "NY",
            "postal_code": "140945339",
            "country_code": "US",
            "telephone_number": "716-433-2484",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WESTGATE",
        "first_name": "FATIMA",
        "middle_name": "MARIA",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-03",
        "last_updated": "2024-10-05",
        "certification_date": "2024-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "011758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medina, NY

Sources for this page

Verify at the official NPI Registry.