Active NPI
Jerome P Posey, M.ED. LADC 1
- Addiction (Substance Use Disorder) Counselor
- Brockton, MA
National Provider Identifier
1093957185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 12480
- Practice address
- 1311 Main St
Brockton, MA 02301-7109 - Phone
- (508) 256-3236
- NPI assigned
- Apr 3, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 | 12480 | MA | Primary |
Addresses
Primary practice location
1311 Main St
Brockton, MA 02301-7109
Mailing address
PO Box 684
Randolph, MA 02368-0684
Phone (617) 792-0581
Other practice location 1
51 Bridle Path Cir
Randolph, MA 02368-4450
Phone (617) 792-0581
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12480 | MA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teen Challenge New England Inc | Current | Accepting new patients | |
| South Shore Mental Health Center, Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Addiction Medicine (Psychiatry & Neurology) Physician
- Brockton, MA
- NPI 1205307576
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Quincy, MA
- NPI 1770528317
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596240000000",
"number": "1093957185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 684",
"city": "RANDOLPH",
"state": "MA",
"postal_code": "023680684",
"telephone_number": "617-792-0581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1311 MAIN ST",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023017109",
"telephone_number": "508-256-3236"
}
],
"practiceLocations": [
{
"address_1": "51 Bridle Path Cir",
"address_purpose": "LOCATION",
"city": "Randolph",
"state": "MA",
"postal_code": "023684450",
"country_code": "US",
"telephone_number": "617-792-0581",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "POSEY",
"first_name": "JEROME",
"middle_name": "P",
"credential": "M.ED. LADC 1",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-04-03",
"last_updated": "2020-08-01",
"certification_date": "2020-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MA",
"license": "12480",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brockton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.