Active NPI
Tatiana Mildred Zentz, MSED.
- Addiction (Substance Use Disorder) Counselor
- Warsaw, NY
National Provider Identifier
1003003369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 422 N Main St
Warsaw, NY 14569-1023 - Phone
- (585) 786-8133
- Fax
- (585) 786-9928
- NPI assigned
- Oct 1, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary |
Addresses
Primary practice location
422 N Main St
Warsaw, NY 14569-1023
Mailing address
PO Box 41
Silver Lake, NY 14549-0041
Phone (585) 507-0106
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00740423 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191196800000",
"number": "1003003369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 41",
"city": "SILVER LAKE",
"state": "NY",
"postal_code": "145490041",
"telephone_number": "585-507-0106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "422 N MAIN ST",
"city": "WARSAW",
"state": "NY",
"postal_code": "145691023",
"telephone_number": "585-786-8133",
"fax_number": "585-786-9928"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZENTZ",
"first_name": "TATIANA",
"middle_name": "MILDRED",
"name_prefix": "Mrs.",
"credential": "MSED.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-01",
"last_updated": "2007-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00740423",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Warsaw, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.