Individual provider Active NPI

Kelsey Scanlon, MS, BS, LMHC

  • Mental Health Counselor
  • Buffalo, NY
National Provider Identifier
1982085866
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
010363-01 Issued in NY
Practice address
206 S Elmwood Ave Ste 3
Buffalo, NY 14201-2398
Phone
(716) 847-2441
NPI assigned
Jun 16, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Mental Health Counselor 101YM0800X 010363-01 NY Primary

Addresses

Primary practice location

206 S Elmwood Ave Ste 3
Buffalo, NY 14201-2398

Mailing address

241 Grote St Lowr Apt
Buffalo, NY 14207-2413
Phone (315) 591-0095

Other practice location 1

1131 Broadway St
Buffalo, NY 14212-1501
Phone (716) 896-7350

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
I20240619002287 NY Practitioner - Mental Health Counselor 2860935723 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Science, Master of Science

State licenses

LicenseStateTypeSpecialty
010363-01NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ehs, Inc. CurrentSince May 22, 2024 Accepting new patients
Mid Erie Past Accepting new patients

Locations

206 S Elmwood Ave
Ste 3
Buffalo, NY 14201
Phone (716) 847-2441

206 S Elmwood Ave
Buffalo, NY 14201
Phone (716) 847-0212

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": "1434412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1982085866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 GROTE ST LOWR APT",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142072413",
            "telephone_number": "315-591-0095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 S ELMWOOD AVE STE 3",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142012398",
            "telephone_number": "716-847-2441"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1131 Broadway St",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142121501",
            "country_code": "US",
            "telephone_number": "716-896-7350",
            "fax_number": "716-896-7717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCANLON",
        "first_name": "KELSEY",
        "credential": "MS, BS, LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-16",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "010363-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.