KIMBERLY ANN BORONCZYK
NPI 1407328883
Counselor - Mental Health in Buffalo, NY

Q: What is Kimberly Boronczyk's NPI number?

The NPI number for Kimberly Boronczyk is 1407328883. It was assigned to this individual provider in the NPPES registry on December 22, 2018.

Q: What is Kimberly Boronczyk's specialty?

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

Active since December 22, 2018PECOS Enrolled

768 DELAWARE AVE, BUFFALO, NY 14209(716) 882-3151 Get Directions Write a Review

NPPES record last updated: January 6, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 6, 2025, Jul 7, 2021, Dec 22, 2018 (3 updates tracked since 2018).

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About Kimberly Ann Boronczyk NPPES

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

KIMBERLY ANN BORONCZYK (NPI 1407328883) is an individual mental health provider in Buffalo, New York and active in the NPI registry since December 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Buffalo.

NPPES Registry Identity

NPI1407328883

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameKIMBERLY ANN BORONCZYK

Location Address768 DELAWARE AVEBuffalo, NY 14209-2006

Mailing Address1000 Main StBuffalo, NY 14202-1102 · (716) 881-2405 · Fax (716) 881-2425

Phone(716) 882-3151

Sole ProprietorNo

Enumeration DateDecember 22, 2018

Last NPPES UpdateJanuary 6, 20253 updates tracked since enumeration

NPPES CertifiedJanuary 6, 2025

✔ NPI 1407328883 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

768 DELAWARE AVE, Buffalo, NY 14209

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Secondary Practice Location 1

Location 11000 Main StBuffalo, NY 14202-1102 · Phone (716) 881-2405 · Fax (716) 881-2425

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberly Ann Boronczyk is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Kimberly Boronczyk reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Liberty Resources Inc.

139 mi

Mental Health (Including Community Mental Health Center)

1045 JAMES ST
Syracuse, NY 13203

Reassigned Medicare billing, New York enrollment
156 clinicians in this Medicare group

NPI 1225254881 (315) 425-1004

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.

MRS. KATHLEEN DELANO LCSW-R

Social Worker