Kabba Recovery Services

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

KABBA RECOVERY SERVICES

Practice address

1955 W Broadway Ste 102
Monona, WI 53713-3700

Phone

(646) 750-5416

NPI assigned

Feb 13, 2020

Organization subpart

No

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

Authorized official

Name

Sara Jane Allee-Jatta

Title

Owner

Phone

(646) 750-5416

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

{
    "created_epoch": "1581552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582675200000",
    "number": "1255964748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1955 W BROADWAY STE 102",
            "city": "MONONA",
            "state": "WI",
            "postal_code": "537133700",
            "telephone_number": "646-750-5416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1955 W BROADWAY STE 102",
            "city": "MONONA",
            "state": "WI",
            "postal_code": "537133700",
            "telephone_number": "646-750-5416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KABBA RECOVERY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-13",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A",
        "authorized_official_last_name": "ALLEE-JATTA",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-750-5416"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100076669",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "salleejatta@kabbarecoveryservices.org",
            "affiliation": "N",
            "address_1": "1955 W Broadway Ste 102",
            "city": "Monona",
            "state": "WI",
            "country_code": "US",
            "postal_code": "537133700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• James Clark Ircink, MD
• Eboselumhen Iseghohi
• Dena M Jacobs, RPH
• Ryan Jones, MS, LMFT, MS, OL
• Kabba Incorporated
• Vincent Kabbaz, P.T.
• Kadop Health Care Services LLC
• Kaitlyn Laurie, S.C
• Jessica Lee Katcher, LCSW, SACIT
• Leeann Katzfey

• Addiction (Substance Use Disorder) Counselor in Monona, WI
• Providers in Monona, WI by specialty
• Addiction (Substance Use Disorder) Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2020; 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.