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NPI Code Detail

MEDICARE: DANIEL JAMES ORT L.M.H.C.D., CASAC

MEDICARE: DANIEL JAMES ORT L.M.H.C.D., CASAC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) CounselorP80139NY
2101YM0800XMental Health CounselorP80139NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1760762611
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIEL JAMES ORT L.M.H.C.D., CASAC
Provider Business Mailing Address
First Line : 462 GRIDER ST
Second Line :
City : BUFFALO
State : NY
Zip : 14215-3098
Country : US
Telephone Number : 716-898-5467
Fax Number : 716-898-6232
Provider Business Practice Location Address
First Line : 462 GRIDER ST
Second Line :
City : BUFFALO
State : NY
Zip : 14215-3098
Country : US
Telephone Number : 716-898-5467
Fax Number : 716-898-6232
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/24/2011
Last Update Date : 03/02/2026

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