Individual provider Active NPI

Steven S Garnham, LEAP, CADC

  • Addiction (Substance Use Disorder) Counselor
  • Phila, PA
National Provider Identifier
1043734692
Registry record updated Jul 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
2369 Issued in PA
Practice address
325 Chestnut St Ste 879
Phila, PA 19106-2614
Phone
(267) 237-3008
Fax
(215) 689-2990
NPI assigned
Jul 26, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 157 NC
Addiction (Substance Use Disorder) Counselor 101YA0400X 2369 PA Primary

Addresses

Primary practice location

325 Chestnut St Ste 879
Phila, PA 19106-2614

Mailing address

1401 Valley Glen Rd
Elkins Park, PA 19027-1719
Phone (267) 237-3008

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

State licenses

LicenseStateTypeSpecialty
2369PAMDAddiction (Substance Use Disorder) Counselor
157NCMDAdvanced Practice Midwife

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1501027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501027200000",
    "number": "1043734692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 VALLEY GLEN RD",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190271719",
            "telephone_number": "267-237-3008",
            "fax_number": "215-689-2990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 CHESTNUT ST STE 879",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191062614",
            "telephone_number": "267-237-3008",
            "fax_number": "215-689-2990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARNHAM",
        "first_name": "STEVEN",
        "middle_name": "S",
        "credential": "LEAP, CADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-07-26",
        "last_updated": "2017-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NC",
            "license": "157",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "PA",
            "license": "2369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phila, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.