BUFFALO BEACON CORPORATION NPI 1083618672

NPI Information

NPI: 1083618672
Provider Name: BUFFALO BEACON CORPORATION
Classification: Counselor - 101YA0400X
Specialization: Addiction (Substance Use Disorder)
Entity Type: Organization
Doing Business As: BEACON CENTER
CLIA Number: 33D2154792
Address: 3354 SHERIDAN DR
AMHERST, NY
ZIP 14226
Phone: (716) 831-1937

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NPI Details

BUFFALO BEACON CORPORATION is an addiction (substance use disorder) counselor in Amherst, NY. BUFFALO BEACON CORPORATION NPI is 1083618672. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Beacon Center.

The provider's business location address is:

3354 SHERIDAN DR
AMHERST, NY
ZIP 14226-439
Phone: (716) 831-1937
Fax: (716) 831-8837

The provider's authorized official is Jacqueline L West .
The authorized official title is Chief Operating Officer and has the following contact phone number (716) 831-1937.

The CLIA number assigned to this NPI record is 33D2154792 - comp. outpatient rehab facility with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatm (HCPCS:G2067)

The enumeration date for this NPI number is 6/10/2005 and was last updated on 5/18/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	050610689	NEW YORK	Yes
2	251S00000X	Community/Behavioral Health				No
3	261QM2800X	Clinic/Center	Methadone	170912042	NEW YORK	No
4	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder			No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	01183233	MEDICAID	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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