ELAINE BROKAW (NPI# 1164998365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164998365 |
| Entity Type | Individual |
| Full Name | ELAINE BROKAW |
| Credential | MASTERS IN MHC |
| Practice Address |
301 Cayuga Rd Ste 200 Cheektowaga NY 14225-1950 |
| Practice Telephone | 7168193420 |
| Practice Fax Number | 7168193430 |
| Mailing Telephone | 7168193420 |
| Mailing Fax Number | 7168193430 |
| Enumeration Date | 2018-10-16 |
| Last Update Date | 2019-07-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
301 CAYUGA RD STE 200 |
| City | CHEEKTOWAGA |
| State | NY |
| Zip Code | 14225-1950 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750873659 | James Bogdan | Counselor | 301 Cayuga Rd Ste 200, Cheektowaga, NY 14225-1950 | 2018-06-06 |
| 1356973564 | Roberto N Bonilla | Case Manager/Care Coordinator | 301 Cayuga Rd Ste 200, Cheektowaga, NY 14225-1950 | 2020-02-05 |
| 1447881859 | Caitlin Greene | Case Manager/Care Coordinator | 301 Cayuga Rd Ste 200, Cheektowaga, NY 14225-1950 | 2020-02-04 |
| 1235784513 | Lavinnia Tamika Auston | Peer Specialist | 301 Cayuga Rd Ste 200, Cheektowaga, NY 14225-1950 | 2019-08-05 |
| 1043865363 | Kristen Pfalzgraf | Peer Specialist | 301 Cayuga Rd Ste 200, Cheektowaga, NY 14225-1950 | 2019-08-04 |
| 1992367114 | Ambar Jocelin Ayala Diaz | Case Manager/Care Coordinator | 301 Cayuga Rd Ste 200, Cheektowaga, NY 14225-1950 | 2019-07-08 |
| 1295210789 | Mayelin Rodher | Home Health Aide | 301 Cayuga Rd Ste 200, Cheektowaga, NY 14225-1950 | 2018-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124639885 | Jennifer Marki | Specialist/Technologist | 4226 Genesee St, Suite 400, Cheektowaga, NY 14225 | 2020-08-14 |
| 1609498138 | Schulz, Adult Health Np, Pllc | Nurse Practitioner | 678 Cleveland Drive, Cheektowaga, NY 14225 | 2020-05-06 |
| 1790252914 | Jacob William Debell | Student in an Organized Health Care Education/Training Program | 3469 Harlem Road, Cheektowaga, NY 14225 | 2018-10-25 |
| 1114441284 | Michael P Gugliuzza | Emergency Medical Technician, Paramedic | 239 Westbook Dr, Cheektowaga, NY 14225 | 2017-08-01 |
| 1841720307 | Buffalo Dental Implant | Dentist | 1526 Walden Ave. Suite 600, Buffalo Dental Implant, Cheektowaga, NY 14225 | 2017-06-18 |
| 1396279741 | Jacob Habermehl | Specialist/Technologist | 67 Lynncrest Terrace, Cheektowaga, NEW YORK 14225 | 2017-04-12 |
| 1588196901 | Cha Vu | Dentist | 2521 Walden Ave, Buffalo, NY 14225 | 2017-04-03 |
| 1881040244 | Amanda Sanders | Licensed Practical Nurse | 21 Kingswood Dr, Cheektowaga, NY 14225 | 2016-05-04 |
| 1255748638 | Valerie Knowles | Licensed Practical Nurse | 3527 Harlem Road, Cheektowaga, NY 14225 | 2014-07-17 |
| 1043569585 | Mark Timothy Morreale | Optometrist | 2000 Walden Avenue, Cheektowaga, NY 14225 | 2012-08-30 |
| Find all providers in zip 14225 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750873659 | James Bogdan | Counselor | 301 Cayuga Rd Ste 200, Cheektowaga, NY 14225-1950 | 2018-06-06 |
| 1407967078 | Shelley L. Miller | Counselor | 1526 Walden Ave Ste 400, Cheektowaga, NY 14225-4985 | 2006-08-31 |
| 1437776101 | Jessica Pritchard | Counselor | 2563 Union Rd, Cheektowaga, NY 14227-2275 | 2020-06-29 |
| 1811535263 | Shawn S Robbins | Counselor | 301 Cayuga Rd, Cheektowaga, NY 14225-1950 | 2019-12-17 |
| 1457803223 | Jordan Lengel | Counselor | 1526 Walden Ave, Suite 400, Cheektowaga, NY 14225-4965 | 2016-10-27 |
| 1235588757 | Megan Anne Friol | Counselor | 1526 Walden Ave, Cheektowaga, NY 14225-4965 | 2016-06-06 |
| 1962878561 | Stephanie Serafini | Counselor | 1526 Walden Avenue, Suite 400, Cheektowaga, NY 14225-4985 | 2015-08-18 |
| 1376938092 | Andrea Bellavia | Counselor | 1526 Walden Ave, Cheektowaga, NY 14225-4965 | 2015-03-31 |
| 1548653553 | Laura Moeller | Counselor | 1526 Walden Avenue, Suite 400, Cheektowaga, NY 14225 | 2015-03-16 |
| 1326437054 | Nicole Kropp | Counselor | 1526 Walden Ave, Suite 400, Cheektowaga, NY 14225-4965 | 2015-01-19 |
| Find all providers in CHEEKTOWAGA | ||||
| City | CHEEKTOWAGA |
| Zip Code | 14225 |
Please comment or provide details below to improve the information on ELAINE BROKAW.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.