Active NPI
Lorrayne C Patterson, CASAC-T
- Addiction (Substance Use Disorder) Counselor
- Brooklyn, NY
National Provider Identifier
1114258308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 22438
- Practice address
- 175 Remsen St FL 10
Brooklyn, NY 11201-4300 - Phone
- (718) 852-5552
- NPI assigned
- Jan 27, 2010
- 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 | 22438 | NY | Primary |
Addresses
Primary practice location
175 Remsen St FL 10
Brooklyn, NY 11201-4300
Mailing address
175 Remsen St FL 10
Brooklyn, NY 11201-4300
Phone (718) 852-5552
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22438 | Other | NY | CASAC-T |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 22438 | NY | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bridge Back to Life Center | Past | Accepting new patients | |
| Bridge Back to Life Center, Inc. | Addiction (Substance Use Disorder) | 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.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Brooklyn, NY
- NPI 1881922508
-
- Multi-Specialty Clinic/Center
- Bethpage, NY
- NPI 1518918101
Addiction (Substance Use Disorder)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264550400000",
"number": "1114258308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "175 REMSEN ST FL 10",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112014300",
"telephone_number": "718-852-5552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 REMSEN ST FL 10",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112014300",
"telephone_number": "718-852-5552"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTERSON",
"first_name": "LORRAYNE",
"middle_name": "C",
"credential": "CASAC-T",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-01-27",
"last_updated": "2010-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NY",
"license": "22438",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CASAC-T",
"identifier": "22438",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.