Paige K Prentice, MM, CASAC
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Sanborn, NY
NPI 1316010705 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1316010705
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 10920 (NY)
- Practice address
- 6301 Inducon Dr E
Sanborn, NY 14132-9014 - Phone
- (716) 731-2030
- Fax
- (716) 731-3010
- NPI assigned
- Nov 16, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10920 | NY | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Horizon Health Services | Past | Accepting new patients | |
| Horizon Village | Past | Accepting new patients |
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/78f4cdd4-55a7-4d47-b25a-4d044d550506/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 10920 | NY | Yes |
Addresses
Primary practice location
6301 Inducon Dr E
Sanborn, NY 14132-9014
Mailing address
6301 Inducon Dr E
Sanborn, NY 14132-9014
Phone (716) 731-2030
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10920 | Other | NY | CASAC |
Other providers in Sanborn, NY
- Joanne E Paxon
- Lucy Marie Penque
- Britt Christine Phillips
- Nancy V.C. Platt
- Richard J Pozak
- Kay Lobo Prinzi
- Gary Miller Proulx
- Brian D Rambarran
- Elizabeth Elaine Reed
- Judy Ringler
All providers in Sanborn, NY · Addiction (Substance Use Disorder) Counselor in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.