Individual provider Active NPI

John W Huntley, CACII

  • Addiction (Substance Use Disorder) Counselor
  • Washington, DC
National Provider Identifier
1114629557
Registry record updated Mar 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
CACII1103 Issued in DC
Practice address
122 45TH St NE
Washington, DC 20019-4614
Phone
(202) 750-2872
NPI assigned
Mar 20, 2023
Last updated
Mar 20, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CACII1103 DC Primary

Addresses

Primary practice location

122 45TH St NE
Washington, DC 20019-4614

Mailing address

11003 Tyrone Dr
Upper Marlboro, MD 20772-4636
Phone (240) 441-9086

Other practice location 1

4420 Benning Rd NE
Washington, DC 20019-4555
Phone (202) 750-2872

Other practice location 2

60 O St NW
Washington, DC 20001-1259
Phone (202) 750-2872

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
CACII1103DCMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Some, Inc CurrentSince May 14, 2023 Accepting new patients
Some, 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1679270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679270400000",
    "number": "1114629557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11003 TYRONE DR",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207724636",
            "telephone_number": "240-441-9086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 45TH ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200194614",
            "telephone_number": "202-750-2872"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4420 Benning Rd NE",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200194555",
            "country_code": "US",
            "telephone_number": "202-750-2872",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "60 O St NW",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200011259",
            "country_code": "US",
            "telephone_number": "202-750-2872",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUNTLEY",
        "first_name": "JOHN",
        "middle_name": "W",
        "credential": "CACII",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-20",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "DC",
            "license": "CACII1103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2023; 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.