Individual provider Active NPI

Antionette Bassi Rojas, MSW, CASAC

  • Addiction (Substance Use Disorder) Counselor
  • Jackson Heights, NY
National Provider Identifier
1205223245
Registry record updated Apr 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
3321 Issued in NY
Practice address
3720 74TH St
3Rd Floor
Jackson Heights, NY 11372-6338
Phone
(718) 426-6222
Fax
(718) 424-6192
NPI assigned
Apr 16, 2015
Last updated
Apr 16, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2015

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 3321 NY Primary

Addresses

Primary practice location

3720 74TH St
3Rd Floor
Jackson Heights, NY 11372-6338

Mailing address

3720 74TH St
3Rd Floor
Jackson Heights, NY 11372-6338
Phone (718) 426-6222

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
3321NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
New York Center for Addiction Treatment Services, Inc. Past Accepting new patients
New York Counseling for Change, LCSW, PLLC PastSince Oct 22, 2012 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": "1429142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429142400000",
    "number": "1205223245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3720 74TH ST",
            "address_2": "3RD FLOOR",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113726338",
            "telephone_number": "718-426-6222",
            "fax_number": "718-424-6192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3720 74TH ST",
            "address_2": "3RD FLOOR",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113726338",
            "telephone_number": "718-426-6222",
            "fax_number": "718-424-6192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASSI ROJAS",
        "first_name": "ANTIONETTE",
        "name_prefix": "Ms.",
        "credential": "MSW, CASAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-16",
        "last_updated": "2015-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "3321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2015; 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.