Organization Active NPI

Gambling Information and Counseling

  • Mental Health Counselor
  • Utica, NY
National Provider Identifier
1083722979
Registry record updated Jun 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
GAMBLING INFORMATION AND COUNSELING
Practice address
1500 Genesee St
Utica, NY 13502-5104
Phone
(315) 735-9501
Fax
(315) 735-9769
NPI assigned
Aug 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2008

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

Authorized official

Name
James E Klein
Title
Director
Phone
(315) 735-9501

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

1500 Genesee St
Utica, NY 13502-5104

Mailing address

1500 Genesee St
Utica, NY 13502-5104
Phone (315) 735-9501

Other identifiers 1

IdentifierTypeStateIssuer
01158465MedicaidNY

Other names 1

  • Human Technologies Corporation Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Gambling Information and Counseling3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1083722979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 GENESEE ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135025104",
            "telephone_number": "315-735-9501",
            "fax_number": "315-735-9769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 GENESEE ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135025104",
            "telephone_number": "315-735-9501",
            "fax_number": "315-735-9769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAMBLING INFORMATION AND COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "KLEIN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "315-735-9501"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01158465",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Human Technologies Corporation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Utica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; 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.