Active NPI
John W Huntley, CACII
- Addiction (Substance Use Disorder) Counselor
- Washington, DC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- CACII1103
- Practice address
- 122 45TH St NE
Washington, DC 20019-4614 - Phone
- (202) 750-2872
- NPI assigned
- Mar 20, 2023
- Last updated
- Mar 20, 2023
- 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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| CACII1103 | DC | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
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.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Washington, DC
- NPI 1992495287
-
dba So Others Might Eat
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Washington, DC
- NPI 1134607401
Addiction (Substance Use Disorder)
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.