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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

JORDAN PRUSIECKI
NPI 1689586653
Counselor in Buffalo, NY

Active since September 22, 2026
3350 MAIN ST, BUFFALO, NY 14214(716) 835-4011(716) 835-0253 Get Directions Write a Review

NPPES record added: September 22, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Jordan Prusiecki NPPES

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

JORDAN PRUSIECKI (NPI 1689586653) is an individual counselor in Buffalo, New York and active in the NPI registry since September 2026.

NPPES Registry Identity

NPI1689586653
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameJORDAN PRUSIECKI
Location Address3350 MAIN STBuffalo, NY 14214-1316
Mailing Address3350 Main StBuffalo, NY 14214-1316 · (716) 835-4011 · Fax (716) 835-0253
Phone(716) 835-4011
Fax(716) 835-0253
Sole ProprietorNo
Enumeration DateSeptember 22, 2026
NPPES CertifiedSeptember 22, 2026
✔ NPI 1689586653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
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.
3350 MAIN ST, Buffalo, NY 14214
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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.

MISS TAYLOR JOHNSON
Case Manager/Care Coordinator
3350 MAIN ST
BUFFALO, NY 14214
Erie County (716) 819-3420
MICHAEL LYNCH MSW
Social Worker
3350 MAIN ST
BUFFALO, NY 14214
Erie County (716) 835-4011
LILEIAN NIDAL RIZEK
Counselor
3350 MAIN ST
BUFFALO, NY 14214
Erie County (716) 835-4011
EDNA WIELBON
Social Worker (Clinical)
3350 MAIN ST
BUFFALO, NY 14214
Erie County (716) 835-4011
SALLY LYNN FRIES
Counselor
3350 MAIN ST
BUFFALO, NY 14214
Erie County (716) 835-4011
KAITLIN HOLTZ
Case Manager/Care Coordinator
3350 MAIN ST
BUFFALO, NY 14214
Erie County (716) 835-4011
JOHN WETHERWAX MS
Counselor (Mental Health)
3350 MAIN ST
BUFFALO, NY 14214
Erie County (716) 835-4011
ANNE DERNBACH MS
Counselor (Mental Health)
3350 MAIN ST
BUFFALO, NY 14214
Erie County (716) 835-4011

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 Jordan Prusiecki's NPI number?

The NPI number for Jordan Prusiecki is 1689586653. It was assigned to this individual provider in the NPPES registry on September 22, 2026.

Where is Jordan Prusiecki located?

Jordan Prusiecki practices at 3350 Main St, Buffalo, NY 14214. The listed phone number is (716) 835-4011.

What is Jordan Prusiecki's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Jordan Prusiecki was last updated on September 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.