Active NPI
Jade Purdy, CASAC-T
- Addiction (Substance Use Disorder) Counselor
- New York, NY
National Provider Identifier
1295109486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 29780
- Practice address
- 214 W 116TH St
New York, NY 10026-2494 - Phone
- (212) 602-1400
- Fax
- (212) 602-1892
- NPI assigned
- Nov 25, 2015
- Sex
- Female
- 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 | 29780 | NY | Primary |
Addresses
Primary practice location
214 W 116TH St
New York, NY 10026-2494
Mailing address
214 W 116TH St
New York, NY 10026-2494
Phone (212) 602-1400
Other names 1
- Jade Purdy
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 |
|---|---|---|---|
| 29780 | NY | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Care Counseling Center, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- New York, NY
- NPI 1588066716
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1448409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1448409600000",
"number": "1295109486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "214 W 116TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100262494",
"telephone_number": "212-602-1400",
"fax_number": "212-602-1892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "214 W 116TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100262494",
"telephone_number": "212-602-1400",
"fax_number": "212-602-1892"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PURDY",
"first_name": "JADE",
"credential": "CASAC-T",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-11-25",
"last_updated": "2015-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NY",
"license": "29780",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JADE",
"last_name": "PURDY",
"credential": "CASAC-T",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 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.