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MIRANDA NELLIS
NPI 1366806499
Counselor - Mental Health in Buffalo, NY

Active since April 05, 2016
3020 BAILEY AVE, BUFFALO, NY 14215(716) 831-2700 Get Directions Write a Review

NPPES record last updated: March 19, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 19, 2021, Apr 30, 2019 (2 updates tracked since 2019).

About Miranda Nellis NPPES

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

MIRANDA NELLIS (NPI 1366806499) is an individual mental health provider in Buffalo, New York, licensed in New York (096832) and active in the NPI registry since April 2016.

NPPES Registry Identity

NPI1366806499
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMIRANDA NELLIS
Location Address3020 BAILEY AVEBuffalo, NY 14215-2814
Mailing Address55 Dodge RdGetzville, NY 14068-1205 · (716) 831-2700 · Fax (716) 831-1818
Phone(716) 831-2700
Sole ProprietorNo
Enumeration DateApril 5, 2016
Last NPPES UpdateMarch 19, 20212 updates tracked since enumeration
NPPES CertifiedMarch 19, 2021
✔ NPI 1366806499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NY · 096832
3020 BAILEY AVE, Buffalo, NY 14215
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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.

REBEKAH MOSHER
Counselor (Addiction (Substance Use Disorder))
3020 BAILEY AVE, 2ND FLOOR
BUFFALO, NY 14215
Erie County (716) 831-1800
BONNIE PARKOT
Counselor
3020 BAILEY AVE
BUFFALO, NY 14215
Erie County (716) 831-2700
BLAIR BUCZKOWSKI
Registered Nurse
3020 BAILEY AVE
BUFFALO, NY 14215
Erie County (716) 831-2700
VANESSA CHINEMELUM ABUDEI
Counselor
3020 BAILEY AVE
BUFFALO, NY 14215
Erie County (716) 833-3622
MRS. SARAH KATHRYN HALL MS
Counselor (Addiction (Substance Use Disorder))
3020 BAILEY AVE
BUFFALO, NY 14215
Erie County (716) 831-1850
MS. KELLY ANN SPEARS CASAC-T
Counselor (Mental Health)
3020 BAILEY AVE
BUFFALO, NY 14215
Erie County (716) 830-1800
RONALD G KRASKA O.T.R.
Counselor (Mental Health)
3020 BAILEY AVE
BUFFALO, NY 14215
Erie County (716) 831-1800
HEATHER MENDYK
Counselor (Addiction (Substance Use Disorder))
3020 BAILEY AVE, 2ND FLOOR
BUFFALO, NY 14215
Erie County (716) 831-1800

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 Miranda Nellis's NPI number?

The NPI number for Miranda Nellis is 1366806499. It was assigned to this individual provider in the NPPES registry on April 5, 2016.

Where is Miranda Nellis located?

Miranda Nellis practices at 3020 Bailey Ave, Buffalo, NY 14215. The listed phone number is (716) 831-2700.

What is Miranda Nellis's specialty?

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

When was this NPI record last updated?

The NPPES record for Miranda Nellis was last updated on March 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.