Individual provider Active NPI

Molly Aileen McDermott

  • Mental Health Counselor
  • East Aurora, NY
National Provider Identifier
1962972422
Registry record updated Sep 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
293 Sycamore St
East Aurora, NY 14052-2958
Phone
(716) 949-1115
NPI assigned
Nov 27, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Doula 374J00000X
Mental Health Counselor 101YM0800X NY Primary

Addresses

Primary practice location

293 Sycamore St
East Aurora, NY 14052-2958

Mailing address

293 Sycamore St
East Aurora, NY 14052-2958
Phone (716) 949-1115

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
I20251105001054 NY Practitioner - Mental Health Counselor 7618467036 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shurmatz Counseling, LCSW, PCGroup PAC ID 1153651179, 19 clinicians

Practice addresses (Care Compare)

2355 Union Rd
Suite 200
Cheektowaga, NY 14227-2234
Phone (716) 217-6112

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Shurmatz Counseling LCSW PC CurrentSince Nov 3, 2025 Accepting new patients

Locations

2355 Union Rd
Ste 200
Cheektowaga, NY 14227
Phone (716) 217-6112

6225 Sheridan Dr
Ste 222
Williamsville, NY 14221
Phone (716) 217-6112

Organizations & group practices 1

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": "1543276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632960000000",
    "number": "1962972422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "293 SYCAMORE ST",
            "city": "EAST AURORA",
            "state": "NY",
            "postal_code": "140522958",
            "telephone_number": "716-949-1115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "293 SYCAMORE ST",
            "city": "EAST AURORA",
            "state": "NY",
            "postal_code": "140522958",
            "telephone_number": "716-949-1115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDERMOTT",
        "first_name": "MOLLY",
        "middle_name": "AILEEN",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-27",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Aurora, NY

Sources for this page

Verify at the official NPI Registry.