Active NPI
Jonathan Eurick, MCAP
- Addiction (Substance Use Disorder) Counselor
- Fort Pierce, FL
National Provider Identifier
1104309384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 1302 N Lawnwood Cir
Fort Pierce, FL 34950-4806 - Phone
- (772) 468-6800
- NPI assigned
- Sep 13, 2018
- Sex
- Male
- 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
1302 N Lawnwood Cir
Fort Pierce, FL 34950-4806
Mailing address
1302 N Lawnwood Cir
Fort Pierce, FL 34950-4806
Phone (772) 468-6800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101YA0400X | Medicaid | FL |
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": "1536796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543190400000",
"number": "1104309384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1302 N LAWNWOOD CIR",
"city": "FORT PIERCE",
"state": "FL",
"postal_code": "349504806",
"telephone_number": "772-468-6800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1302 N LAWNWOOD CIR",
"city": "FORT PIERCE",
"state": "FL",
"postal_code": "349504806",
"telephone_number": "772-468-6800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EURICK",
"first_name": "JONATHAN",
"credential": "MCAP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-09-13",
"last_updated": "2018-11-26",
"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": "101YA0400X",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fort Pierce, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.