Active NPI
Harry A Gerowe, MS,LADC,CCS,CCDP
- Addiction (Substance Use Disorder) Counselor
- Waterbury, CT
National Provider Identifier
1265631923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 000118
- Practice address
- 900 Watertown Ave
Waterbury, CT 06708-2011 - Phone
- (203) 756-8984
- Fax
- (203) 756-8984
- NPI assigned
- Jul 13, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 000118 | CT | Primary |
| Mental Health Counselor | 101YM0800X | 000118 | CT |
Addresses
Primary practice location
900 Watertown Ave
Waterbury, CT 06708-2011
Mailing address
900 Watertown Ave
Waterbury, CT 06708-2011
Phone (203) 756-8984
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CAC - 588 | Other | CT | CONNECTICUT CERTIFICATION BOARD |
| CCS - 588 | Other | CT | CONNECTICUT CERTIFICATION BOARD |
| 000118 | Other | CT | LICENSED ALCOHOL AND DRUG |
| CCDP - 4884 | Other | CT | CONNECTICUT CERTIFICATION BOARD |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000118 | CT | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1382659200000",
"number": "1265631923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 WATERTOWN AVE",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067082011",
"telephone_number": "203-756-8984",
"fax_number": "203-756-8984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 WATERTOWN AVE",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067082011",
"telephone_number": "203-756-8984",
"fax_number": "203-756-8984"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEROWE",
"first_name": "HARRY",
"middle_name": "A",
"credential": "MS,LADC,CCS,CCDP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-07-13",
"last_updated": "2013-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CT",
"license": "000118",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CT",
"license": "000118",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICUT CERTIFICATION BOARD",
"identifier": "CAC - 588",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICUT CERTIFICATION BOARD",
"identifier": "CCS - 588",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED ALCOHOL AND DRUG",
"identifier": "000118",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICUT CERTIFICATION BOARD",
"identifier": "CCDP - 4884",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Waterbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.