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ELIZABETH LICCIARDI
NPI 1962966572
Counselor - Mental Health in Hamburg, NY

Active since January 28, 2019PECOS Enrolled
140 PINE ST., HAMBURG, NY 14075(716) 464-4991(716) 464-4990 Get Directions Write a Review

NPPES record last updated: January 5, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jan 5, 2026, Jan 28, 2019 (2 updates tracked since 2019).

About Elizabeth Licciardi NPPES

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

ELIZABETH LICCIARDI (NPI 1962966572) is an individual mental health provider in Hamburg, New York and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962966572
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameELIZABETH LICCIARDI
Location Address140 PINE ST.Hamburg, NY 14075
Mailing Address140 Pine St.Hamburg, NY 14075 · (716) 464-4991 · Fax (716) 464-4990
Phone(716) 464-4991
Fax(716) 464-4990
Sole ProprietorNo
Enumeration DateJanuary 28, 2019
Last NPPES UpdateJanuary 5, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 5, 2026
✔ NPI 1962966572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
140 PINE ST., Hamburg, NY 14075
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Bestself Behavioral Health, Inc.
12 mi
Mental Health (Including Community Mental Health Center)
254 FRANKLIN ST
Buffalo, NY 14202
  • Reassigned Medicare billing, New York enrollment
  • 119 clinicians in this Medicare group
NPI 1447497821 (716) 842-0440

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 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. EMILY PATRICIA WOJDA LMSW
Social Worker
140 PINE ST.
HAMBURG, NY 14075
Erie County (716) 646-4991
SHEANA M VANDYNE
Case Manager/Care Coordinator
140 PINE ST.
HAMBURG, NY 14075
Erie County (716) 646-4991
GRAYCE MARGARET KURTZ
Counselor
140 PINE ST.
HAMBURG, NY 14075
Erie County (716) 646-4991
LORNA STRESING RPH
Pharmacist
140 PINE ST.
HAMBURG, NY 14075
Erie County (716) 649-9505
NICOLE ROSE TOMASIK
Case Manager/Care Coordinator
140 PINE ST.
HAMBURG, NY 14075
Erie County (716) 646-4991

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 Elizabeth Licciardi's NPI number?

The NPI number for Elizabeth Licciardi is 1962966572. It was assigned to this individual provider in the NPPES registry on January 28, 2019.

Where is Elizabeth Licciardi located?

Elizabeth Licciardi practices at 140 Pine St., Hamburg, NY 14075. The listed phone number is (716) 464-4991.

What is Elizabeth Licciardi's specialty?

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

Is Elizabeth Licciardi enrolled in Medicare?

Yes. Elizabeth Licciardi is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Elizabeth Licciardi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Licciardi reassigns Medicare benefits to Bestself Behavioral Health, Inc. (Buffalo, NY). The 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 Elizabeth Licciardi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Elizabeth Licciardi was last updated on January 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.