KAIROS COUNSELING LCSW PLLC
NPI 1801640503
Social Worker - Clinical in Grand Island, NY

Active since April 17, 2024
1870 WHITEHAVEN RD, GRAND ISLAND, NY 14072(716) 453-4839 Get Directions Write a Review

NPPES record last updated: April 17, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kairos Counseling Lcsw Pllc NPPES

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

KAIROS COUNSELING LCSW PLLC (NPI 1801640503) is a healthcare organization registered as a clinical in Grand Island, New York and active in the NPI registry since April 2024. The organization lists Samantha Zimmermann, Licensed Clinical Social Worker, as its authorized official.

NPPES Registry Identity

NPI1801640503
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameKAIROS COUNSELING LCSW PLLC
Location Address1870 WHITEHAVEN RDGrand Island, NY 14072-1804
Mailing Address1870 Whitehaven RdGrand Island, NY 14072-1804 · (716) 453-4839
Organization SubpartNo
Authorized OfficialSamantha ZimmermannLicensed Clinical Social Worker · (716) 453-4839
Enumeration DateApril 17, 2024
NPPES CertifiedApril 17, 2024
✔ NPI 1801640503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1870 WHITEHAVEN RD, Grand Island, NY 14072

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kairos Counseling Lcsw Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Kairos Counseling Lcsw PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Social Worker
NPI 1417404567
1870 WHITEHAVEN RD
Grand Island, NY 14072
(716) 453-4839
✔ PECOSSame address

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

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 Kairos Counseling Lcsw PLLC's NPI number?

The NPI number for Kairos Counseling Lcsw PLLC is 1801640503. It was assigned to this organization in the NPPES registry on April 17, 2024.

Where is Kairos Counseling Lcsw PLLC located?

Kairos Counseling Lcsw PLLC is located at 1870 Whitehaven Rd, Grand Island, NY 14072. The listed phone number is (716) 453-4839.

What is Kairos Counseling Lcsw PLLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Kairos Counseling Lcsw PLLC enrolled in Medicare?

Yes. Kairos Counseling Lcsw PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kairos Counseling Lcsw PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Kairos Counseling Lcsw PLLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Kairos Counseling Lcsw PLLC was last updated on April 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.