National Provider Identifier

Mental Health Services-Erie County Northwest Corporation I

Mental Health Services-Erie County Northwest Corporation I is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Kenmore, NY and a listed phone number of (716) 882-2127.

NPI 1679698286Kenmore, NYMental Health Counselor

Source: public NPPES record, last updated January 31, 2022. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.

Profile Overview

NPI
1679698286
Provider Type
Organization
Primary Specialty
Mental Health Counselor
Enumeration Date
March 20, 2007
Last Updated
January 31, 2022

Practice Location

  • 2495 Elmwood Ave
  • Kenmore, NY 14217-2222

Phone: (716) 882-2127

Mailing Address

  • PO Box 710
  • Kenmore, NY 14217-0710

Authorized Official

Name
Mr. Daniel Church
Title
Finance Director
Credentials
MBA
Phone
(716) 882-2127

Specialties

  • Mental Health Counselor (101YM0800X)
  • Addiction (Substance Use Disorder) Counselor (101YA0400X)

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Organization Overview

MENTAL HEALTH SERVICES-ERIE COUNTY NORTHWEST CORPORATION I, publicly known as Envision Wellness WNY Behavioral Health, is a Kenmore, New York-based nonprofit behavioral health provider serving Western New York. The organization says it provides outpatient behavioral health services for people with emotional, psychiatric, behavioral, or interpersonal concerns, using a person-centered, whole-person recovery model. Its official site describes a history of nearly 50 years of service, with program locations in Kenmore and Buffalo and offerings that include outpatient mental health care, Envision PROS, a Family Success Center, and telehealth options.

Full Record
NPI
1679698286
Entity Type
Organization
Organization Name
Mental Health Services-Erie County Northwest Corporation I
Provider Other Organization Name Type Code
6
Mailing Street Address
PO Box 710
Mailing City
Kenmore
Mailing State
NY
Mailing ZIP Code
14217-0710
Mailing Country
US
Mailing Phone
(716) 882-2127
Mailing Fax
(716) 882-9277
Practice Street Address
2495 Elmwood Ave
Practice City
Kenmore
Practice State
NY
Practice ZIP Code
14217-2222
Practice Country
US
Practice Phone
(716) 882-2127
Practice Fax
(716) 882-9277
Enumeration Date
March 20, 2007
Last Updated
January 31, 2022
Authorized Official Last Name
Church
Authorized Official First Name
Daniel
Authorized Official Title
Finance Director
Authorized Official Phone
(716) 882-2127
Organization Subpart
No
Authorized Official Name Prefix Text
Mr.
Authorized Official Credential Text
MBA
Taxonomy Group 1
193400000X Multiple Single Specialty Group
Taxonomy Group 2
193400000X Multiple Single Specialty Group
Certification Date
January 31, 2022
Taxonomies
Mental Health Counselor (101YM0800X), Addiction (Substance Use Disorder) Counselor (101YA0400X)
Other Identifiers
02996876 (NY), 01556472 (NY)