1. Home
  2. Directory
  3. New York
  4. Orchard Park
  5. Peer Specialist
  6. NPI Profile

CAROLYN DIERCKSEN
NPI 1912656828
Peer Specialist in Orchard Park, NY

Active since March 20, 2022
3176 ABBOTT RD UNIT 500, ORCHARD PARK, NY 14127(716) 822-2117 Get Directions Write a Review

NPPES record last updated: March 20, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Carolyn Diercksen NPPES

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

CAROLYN DIERCKSEN (NPI 1912656828) is an individual peer specialist in Orchard Park, New York and active in the NPI registry since March 2022.

NPPES Registry Identity

NPI1912656828
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameCAROLYN DIERCKSEN
Location Address3176 ABBOTT RD UNIT 500Orchard Park, NY 14127-1069
Mailing Address3176 Abbott Rd Unit 500Orchard Park, NY 14127-1069 · (716) 822-2117
Phone(716) 822-2117
Sole ProprietorNo
Enumeration DateMarch 20, 2022
NPPES CertifiedMarch 20, 2022
✔ NPI 1912656828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
3176 ABBOTT RD UNIT 500, Orchard Park, NY 14127
Open in Google Maps ↗

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.

SHANNON CURRY-IZZO MHC-P
Counselor (Mental Health)
3176 ABBOTT RD UNIT 500
ORCHARD PARK, NY 14127
Erie County (716) 822-2117
EMMA PAPAGNI
Counselor
3176 ABBOTT RD UNIT 500
ORCHARD PARK, NY 14127
Erie County (716) 822-2177
TIMOTHY M BRADLEY MSW
Counselor (Addiction (Substance Use Disorder))
3176 ABBOTT RD UNIT 500
ORCHARD PARK, NY 14127
Erie County (716) 822-2117
GABRIEL JOAN GOLABEK
Registered Nurse
3176 ABBOTT RD UNIT 500
ORCHARD PARK, NY 14127
Erie County (716) 882-2117
MICHELLE MARIE WNEK MS, CASAC, NYCPS
Counselor (Addiction (Substance Use Disorder))
3176 ABBOTT RD UNIT 500
ORCHARD PARK, NY 14127
Erie County (716) 822-2117
YSOBEL CONRAD
Counselor
3176 ABBOTT RD UNIT 500
ORCHARD PARK, NY 14127
Erie County (716) 822-2117
KRISTY ELIZABETH HOLLAND RN
Registered Nurse
3176 ABBOTT RD UNIT 500
ORCHARD PARK, NY 14127
Erie County (716) 882-2117
MS. EMAN H AFIF
Counselor
3176 ABBOTT RD UNIT 500
ORCHARD PARK, NY 14127
Erie County (716) 822-2177

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 Carolyn Diercksen's NPI number?

The NPI number for Carolyn Diercksen is 1912656828. It was assigned to this individual provider in the NPPES registry on March 20, 2022.

Where is Carolyn Diercksen located?

Carolyn Diercksen practices at 3176 Abbott Rd Unit 500, Orchard Park, NY 14127. The listed phone number is (716) 822-2117.

What is Carolyn Diercksen's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Carolyn Diercksen was last updated on March 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.