IDALMA MAZARIEGOS DE LEON (NPI# 1508301847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508301847 |
| Entity Type | Individual |
| Full Name | IDALMA MAZARIEGOS DE LEON |
| Practice Address |
430 Niagara St Buffalo NY 14201-1886 |
| Mailing Address |
193 Walter Ave Tonawanda NY 14150-4035 |
| Practice Telephone | 7162478336 |
| Enumeration Date | 2016-12-22 |
| Last Update Date | 2016-12-22 |
| 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 |
430 NIAGARA ST |
| City | BUFFALO |
| State | NY |
| Zip Code | 14201-1886 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285628149 | Dianne M Loomis | Family Medicine | 430 Niagara St, Ubmd At Lakeshore, Buffalo, NY 14201-1886 | 2005-09-07 |
| 1477153906 | Veronica Thompson | Peer Specialist | 430 Niagara St, Buffalo, NY 14201-1886 | 2020-10-26 |
| 1023616638 | Eilise Maeve Shaw | Peer Specialist | 430 Niagara St, Buffalo, NY 14201-1886 | 2020-10-15 |
| 1083226914 | Iris Savoy-burke | Peer Specialist | 430 Niagara St, Buffalo, NY 14201-1886 | 2020-08-21 |
| 1235749300 | Kaitlyn Haux | Case Manager/Care Coordinator | 430 Niagara St, Buffalo, NY 14201-1886 | 2020-08-04 |
| 1134737638 | Sedaya Thorne | Counselor | 430 Niagara St, Buffalo, NY 14201-1886 | 2020-07-21 |
| 1306464086 | Anna Marinsky Sharpe | Counselor | 430 Niagara St, Buffalo, NY 14201-1886 | 2020-07-09 |
| 1356965032 | Karan Walker | Counselor | 430 Niagara St, Buffalo, NY 14201-1886 | 2020-05-29 |
| 1942824560 | Bianca J Bassett | Counselor | 430 Niagara St, Buffalo, NY 14201-1886 | 2020-05-29 |
| 1528681434 | Linzy Jourdi | Counselor | 430 Niagara St, Buffalo, NY 14201-1886 | 2020-05-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619592201 | Linda Berkoh-asamoah | Nurse Practitioner | Evergreen Health Services, 206 S. Elmwood Avenue, Buffalo, NY 14201 | 2020-06-10 |
| 1790223303 | Walaa Kadhum | Social Worker | 340 Niagara Street, Buffalo, NY 14201 | 2017-02-02 |
| 1285171025 | Santina Grace Phillips | Counselor | 10 Symphony Circle, Buffalo, NY 14201 | 2017-01-31 |
| 1073976759 | Jana Riesterer | Social Worker | 254 Virginia Street, Buffalo, NY 14201 | 2016-03-31 |
| 1710309414 | Chs N.y. Medical P.C. | General Practice | 10 Sheridan Rd, Buffalo, NY 14201 | 2014-01-15 |
| 1467722314 | Kristin Nicole Halter | Counselor | 591 Niagara Street, Buffalo, NY 14201 | 2012-01-10 |
| 1538446844 | Robert Martin Kennuth | Specialist/Technologist | 329 Porter Ave, D'youville College, Buffalo, NY 14201 | 2011-11-15 |
| 1902115033 | James W Burcher | Registered Nurse | 430 Niagara, Buffalo, NY 14201 | 2010-10-07 |
| 1336468115 | Jane Leslie Burgio | Speech-Language Pathologist | 315 Carolina St, Buffalo, NY 14201 | 2010-05-19 |
| 1376787044 | Jessica Christina | Licensed Practical Nurse | 85 Johnson Park, Buffalo, NY 14201 | 2009-04-26 |
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| 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 |
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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.