Nicole McIlwain

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

013385 Issued in NY

Practice address

14 Lafayette SQ
Buffalo, NY 14203-1929

Phone

(716) 302-4545

NPI assigned

May 16, 2023

Sex

Female

Sole proprietor

Yes

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

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Clear Your Mind Mental Health Counseling Services PLLC

  • Mental Health Counselor
  • Cheektowaga, NY
  • NPI 1093543688
  Medicare reassignment NPD Authorized official
• Tru E-Wellness NP, PLLC

  • Family Nurse Practitioner
  • Buffalo, NY
  • NPI 1437874146
  NPD

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

{
    "created_epoch": "1684195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684195200000",
    "number": "1952092512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 LAFAYETTE SQ STE 2300",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142031923",
            "telephone_number": "716-302-4545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 LAFAYETTE SQ",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142031929",
            "telephone_number": "716-302-4545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCILWAIN",
        "first_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-16",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "013385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayleah McGuire
• Rosemarie Ann McGuire, NP
• Laurie M McHenry, CASAC
• Rosemarie McHugh, MS, ANP-C
• Demetra McIlwain, MD
• Alliyah Kai McIntosh
• Frederick Michael McIntyre, DDS
• Virginia McIntyre
• Madeline McKay
• Nicole McKee

• Mental Health Counselor in Buffalo, NY
• Providers in Buffalo, 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 May 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.