ERICA MATTISON (NPI# 1538317912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538317912 |
| Entity Type | Individual |
| Full Name | ERICA MATTISON |
| Practice Address |
463 William Street Buffalo NY 14204-1811 |
| Mailing Address |
1526 Walden Avenue Suite 400 Cheektowaga NY 14225-4985 |
| Practice Telephone | 7168930062 |
| Mailing Telephone | 7168956700 |
| Mailing Fax Number | 7163324488 |
| Enumeration Date | 2008-08-28 |
| Last Update Date | 2011-05-04 |
| 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 | ||
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| Street Address |
463 WILLIAM STREET |
| City | BUFFALO |
| State | NY |
| Zip Code | 14204-1811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487704508 | Jeremy Peter Allen | Counselor | 463 William Street, Buffalo, NY 14204-1811 | 2007-01-11 |
| 1215261649 | Tiffany Azzinaro | Counselor | 463 William Street, Buffalo, NY 14204-1811 | 2009-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851631220 | Camille L Mckoy | Licensed Practical Nurse | 435 S. Division Street, Buffalo, NY 14204 | 2013-02-22 |
| 1255586129 | Dennis Go Ng | Physical Therapist | 500 Seneca St Ste 100, Buffalo, NY 14204 | 2008-11-19 |
| 1174617658 | Allscript Pharmacy,inc. | Pharmacy | 173 High Street, Buffalo, NY 14204 | 2006-10-02 |
| 1841775673 | Cherell Darnese Toe | Peer Specialist | 431 Williams, Buffalo, NY 14204 | 2018-09-27 |
| 1104172006 | Embassy Capital Group, LLC. | Durable Medical Equipment & Medical Supplies | 368 Broadway, Buffalo, NY 14204 | 2012-07-28 |
| 1841504313 | Samantha Jenkins | Physician Assistant | 397 Louisiana St, Buffalo, NY 14204 | 2010-07-27 |
| 1538483912 | Thomas Joseph Caldwell | Pharmacist | 173 High Street, Buffalo, NY 14204 | 2010-03-15 |
| 1891021028 | Ryanelle T. Fuqua | Licensed Practical Nurse | 338 High St, Buffalo, NY 14204-1111 | 2009-10-22 |
| 1477635308 | Kaleida Health | Clinic/Center | 295 Carlton St, Buffalo, NY 14204-1126 | 2006-10-19 |
| 1730720343 | Brooke Graham | Registered Nurse | 295 Carlton St, Buffalo, NY 14204-1126 | 2019-10-04 |
| Find all providers in zip 14204 | ||||
| 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 |
|---|---|---|---|---|
| 1740888916 | Katie Glynn | Counselor | 254 Franklin St Fl 2, Buffalo, NY 14202-1932 | 2020-10-11 |
| 1376141655 | Deborah Elaine Ricci | Counselor | 43o Niagara Sq, Buffalo, NY 14202 | 2020-10-09 |
| 1184233603 | Dominique Dawn Barker | Counselor | 255 Delaware Ave Fl 4, Buffalo, NY 14202-2016 | 2020-07-30 |
| 1831716208 | Meagan Licata | Counselor | Bestself Behavioral Health, 255 Delaware Ave Ste 300, Buffalo, NY 14202 | 2020-07-01 |
| 1225668270 | Edward Todd Harris IIi | Counselor | 224 Oakridge Ave, Buffalo, NY 14217-1165 | 2020-01-17 |
| 1508404401 | Gabrielle Korman | Counselor | 70 Jewett Parkway, Buffalo, NY 14214 | 2019-12-11 |
| 1609430990 | Kerry E Quinn | Counselor | 430 Niagara St Lowr, Buffalo, NY 14201-1886 | 2019-04-23 |
| 1740748680 | Demire Coffin-williams | Counselor | 89 Butler Ave Uppr, Buffalo, NY 14208-1517 | 2019-03-11 |
| 1730646514 | Jaclyn Marie Burnett | Counselor | 3108 Main St Apt 4, Buffalo, NY 14214-1362 | 2019-02-27 |
| 1669949749 | Mohammed Hamideh | Counselor | 1150 Hertel Ave, Buffalo, NY 14216-2704 | 2018-10-27 |
| Find all providers in BUFFALO | ||||
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| 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.