ALICIA L MOONAN


Address: 1010 Main St, Buffalo, NY 14202-1102
Phone: 7168594803

ALICIA L MOONAN (NPI# 1467711978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1467711978
Entity Type Individual
Full Name ALICIA L MOONAN
Other Name ALICIA L KOWALSKI
Credential LMHC
Practice Address 1010 Main St
Buffalo
NY 14202-1102
Mailing Address 92 Meadowlawn Rd
Cheektowaga
NY 14225-3609
Practice Telephone 7168594803
Practice Fax Number 7168594859
Mailing Telephone 7165741581
Enumeration Date 2012-05-04
Last Update Date 2012-11-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
004800-1 NY Behavioral Health & Social Service Providers

Office Location

Street Address 1010 MAIN ST
City BUFFALO
State NY
Zip Code 14202-1102

Providers in the same location

NPI Name Taxonomy Address Enumeration
1053387944 Evelyn Coggins Psychiatry & Neurology 1010 Main St, Buffalo, NY 14202-1102 2006-02-28
1609333087 Erin Elizabeth Davis Pharmacist 1010 Main St, Buffalo, NY 14202-1102 2019-02-21
1184117590 Aaron Taylor Student in an Organized Health Care Education/Training Program 1010 Main St, Buffalo, NY 14202-1102 2018-06-11
1639685464 Cedar Pediatrics Pllc Clinic/Center 1010 Main St, Buffalo, NY 14202-1102 2017-12-15
1154746709 Christina Rivera Social Worker 1010 Main St, Buffalo, NY 14202-1102 2014-02-19
1891050639 Jennifer Rook Counselor 1010 Main St, Buffalo, NY 14202-1102 2012-07-09
1750649075 Susan Jean Ostrander Counselor 1010 Main St, Buffalo, NY 14202-1102 2012-04-24
1093084006 Kaleida Health General Acute Care Hospital 1010 Main St, Buffalo, NY 14202-1102 2011-12-20
1699042929 Luchina M Moxley Registered Nurse 1010 Main St, Buffalo, NY 14202-1102 2011-12-01
1437459542 Buffalo General Hospital Psychiatric Hospital 1010 Main St, Buffalo, NY 14202-1102 2010-10-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1376141655 Deborah Elaine Ricci Counselor 43o Niagara Sq, Buffalo, NY 14202 2020-10-09
1831716208 Meagan Licata Counselor Bestself Behavioral Health, 255 Delaware Ave Ste 300, Buffalo, NY 14202 2020-07-01
1962022483 Autumn Marie Hayes I Counselor 625 Deleware Avenue, Suite 204, Buffalo, NY 14202 2020-04-24
1861012742 Natasha Qutab Student in an Organized Health Care Education/Training Program Department of Neurology, 1010 Main Street, 2nd Floor, Buffalo, NY 14202 2020-04-21
1396232245 Wood Dental LLC Dentist 564 Franklin Street, Buffalo, NY 14202 2018-04-17
1083130728 Lydia Heeeun Doublestein Advanced Practice Midwife 367 Delaware Ave, Buffalo, NY 14202 2017-08-15
1356861652 Michelle Cheesman Speech-Language Pathologist 801 City Hall, Buffalo, NY 14202 2017-06-27
1275082075 Tempresst Nycole Batts Ravenell Registered Nurse 69 Delaware Ave Suite 1200, Interim Healthcare, Buffalo, NY 14202 2016-09-22
1972974764 Tiffany Tyran Registered Nurse 69 Delaware Ave, Suite 1200, Buffalo, NY 14202 2015-10-19
1487044368 Katherine Jeffries-coppola Registered Nurse 69 Delaware Ave. Suite 1200, Buffalo, NY 14202 2015-01-29
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1962022483 Autumn Marie Hayes I Counselor 625 Deleware Avenue, Suite 204, Buffalo, NY 14202 2020-04-24
1285265439 Michael Scott Cammarata Counselor 1148 Michigan Ave, Buffalo, NY 14209-2316 2020-01-27
1609410919 Amanda G Lumadue Counselor 77 Broadway St Ste 100, Buffalo, NY 14203-1642 2019-10-30
1104477900 Nancy Jean Marcussen Counselor 135 Delaware Ave Ste 210, Buffalo, NY 14202-2410 2019-09-23
1205311073 Rebecca S. Pikoff Counselor 374 Delaware Ave, Buffalo, NY 14202-1621 2018-09-27
1235633447 Elizabeth Randall Counselor 6176 Sheridan Dr, Buffalo, NY 14221-4812 2018-03-21
1225548878 Allison A Trusso-lahey Counselor 495 Parker Ave, Buffalo, NY 14216-2108 2017-10-10
1285171025 Santina Grace Phillips Counselor 10 Symphony Circle, Buffalo, NY 14201 2017-01-31
1760938716 Karen Kahler Counselor 1772 Donnelly Dr Nw, Buffalo, MN 55313 2016-08-30
1457706277 Elizabeth Ann Siematkowski I Counselor 597 Elmwood Ave, Apt. 11b, Buffalo, NY 14222-1837 2016-04-29
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Competitor

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City BUFFALO
Zip Code 14202

Improve Information

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Dataset Information

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.

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