Active NPI
Lisa M Kazial, MA
- Mental Health Counselor
- Orchard Park, NY
National Provider Identifier
1992870760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 004156
- Practice address
- 3176 Abbott Rd
Building a, Suite 500
Orchard Park, NY 14127-1069 - Phone
- (716) 822-2117
- NPI assigned
- Nov 21, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Mental Health Counselor | 101YM0800X | 004156 | NY | Primary |
Addresses
Primary practice location
3176 Abbott Rd
Building a, Suite 500
Orchard Park, NY 14127-1069
Mailing address
3176 Abbott Rd
Building a, Suite 500
Orchard Park, NY 14127-1069
Phone (716) 822-2117
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000 | Other | NY | MASTERS DEGREE |
Other names 1
- Lisa M Kazial
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004156 | NY | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294185600000",
"number": "1992870760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3176 ABBOTT RD",
"address_2": "BUILDING A, SUITE 500",
"city": "ORCHARD PARK",
"state": "NY",
"postal_code": "141271069",
"telephone_number": "716-822-2117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3176 ABBOTT RD",
"address_2": "BUILDING A, SUITE 500",
"city": "ORCHARD PARK",
"state": "NY",
"postal_code": "141271069",
"telephone_number": "716-822-2117"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAZIAL",
"first_name": "LISA",
"middle_name": "M",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-21",
"last_updated": "2011-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "004156",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASTERS DEGREE",
"identifier": "000",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LISA",
"last_name": "KAZIAL",
"middle_name": "M",
"credential": "LMHC, CASAC",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Orchard Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.