Individual provider Active NPI

Hector Manuel Diaz, CASAC #10914

  • Addiction (Substance Use Disorder) Counselor
  • Rochester, NY
National Provider Identifier
1225529704
Registry record updated May 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
10914 Issued in NY
Practice address
585 Joseph Ave FL 1
Rochester, NY 14605-1215
Phone
(585) 325-4910
Fax
(585) 546-1491
NPI assigned
May 21, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2018

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 10914 NY Primary

Addresses

Primary practice location

585 Joseph Ave FL 1
Rochester, NY 14605-1215

Mailing address

152 Baden St FL 1
Rochester, NY 14605-2054
Phone (585) 325-4910

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
10914NYMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1526860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526860800000",
    "number": "1225529704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 BADEN ST FL 1",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146052054",
            "telephone_number": "585-325-4910",
            "fax_number": "585-546-1491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 JOSEPH AVE FL 1",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146051215",
            "telephone_number": "585-325-4910",
            "fax_number": "585-546-1491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "HECTOR",
        "middle_name": "MANUEL",
        "credential": "CASAC #10914",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-21",
        "last_updated": "2018-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "10914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.

Verify at the official NPI Registry.