Active NPI
Marilyn K Eddy-Siperek, LMHC
- Counselor
- Salamanca, NY
National Provider Identifier
1962605295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 000160-1
- Practice address
- 97 Main St
Salamanca, NY 14779-1529 - Phone
- (716) 945-5211
- Fax
- (716) 945-5267
- NPI assigned
- Jun 6, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 000160-1 | NY | Primary |
Addresses
Primary practice location
97 Main St
Salamanca, NY 14779-1529
Mailing address
4598 Whalen Rd
Great Valley, NY 14741-9737
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000160-1 | NY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962605295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4598 WHALEN RD",
"city": "GREAT VALLEY",
"state": "NY",
"postal_code": "147419737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "97 MAIN ST",
"city": "SALAMANCA",
"state": "NY",
"postal_code": "147791529",
"telephone_number": "716-945-5211",
"fax_number": "716-945-5267"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDDY-SIPEREK",
"first_name": "MARILYN",
"middle_name": "K",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NY",
"license": "000160-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salamanca, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.