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LIBBY TOMASULO
NPI 1164916920
Counselor - Mental Health in Buffalo, NY

Active since June 15, 2018PECOS EnrolledAccepts Medicare Assignment
1131 BROADWAY ST, BUFFALO, NY 14212(716) 896-7350 Get Directions Write a Review

NPPES record last updated: June 20, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 12, 2018, Jun 15, 2018 (2 updates tracked since 2018).

About Libby Tomasulo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIBBY TOMASULO (NPI 1164916920) is an individual mental health provider in Buffalo, New York and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1164916920
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameLIBBY TOMASULO
Location Address1131 BROADWAY STBuffalo, NY 14212-1501
Mailing Address1131 Broadway StBuffalo, NY 14212-1501 · (716) 896-7350
Phone(716) 896-7350
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJune 15, 2018
Last NPPES UpdateJune 20, 20222 updates tracked since enumeration
NPPES CertifiedJune 20, 2022
✔ NPI 1164916920 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1131 BROADWAY ST, Buffalo, NY 14212
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Libby Tomasulo is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7012356405
PECOS Enrollment IDI20240418000545
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Libby Tomasulo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mid Erie Mental Health Services Inc
2.8 mi
Counselor
1526 WALDEN AVE, STE 400
Cheektowaga, NY 14225
  • Reassigned Medicare billing, New York enrollment
  • 82 clinicians in this Medicare group
NPI 1225095201 (716) 895-7167

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHANDLER EVANS LMHC
Counselor (Mental Health)
1131 BROADWAY ST
BUFFALO, NY 14212
Erie County (716) 895-6700
CHRISTINA DELLANEVE
Counselor
1131 BROADWAY ST
BUFFALO, NY 14212
Erie County (716) 895-6700
TAURIE ROMAN
Counselor
1131 BROADWAY ST
BUFFALO, NY 14212
Erie County (716) 896-7350
MCKENNA STARUCH MSW
Social Worker
1131 BROADWAY ST
BUFFALO, NY 14212
Erie County (716) 895-6700
JAILYN UTLEY LMSW
Counselor (Mental Health)
1131 BROADWAY ST
BUFFALO, NY 14212
Erie County (716) 896-7350
RHONDA GORDON
Counselor (Addiction (Substance Use Disorder))
1131 BROADWAY ST
BUFFALO, NY 14212
Erie County (716) 896-7350
MICHAEL KATILUS BS
Social Worker
1131 BROADWAY ST
BUFFALO, NY 14212
Erie County (716) 896-7422
ANGELA MARASCO LMHC-P
Counselor (Mental Health)
1131 BROADWAY ST
BUFFALO, NY 14212
Erie County (716) 896-7350

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Libby Tomasulo's NPI number?

The NPI number for Libby Tomasulo is 1164916920. It was assigned to this individual provider in the NPPES registry on June 15, 2018.

Where is Libby Tomasulo located?

Libby Tomasulo practices at 1131 Broadway St, Buffalo, NY 14212. The listed phone number is (716) 896-7350.

What is Libby Tomasulo's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Libby Tomasulo enrolled in Medicare?

Yes. Libby Tomasulo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Libby Tomasulo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Libby Tomasulo reassigns Medicare benefits to Mid Erie Mental Health Services Inc (Cheektowaga, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Libby Tomasulo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Libby Tomasulo was last updated on June 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.