Active NPI
Towayne Bartley
- Addiction (Substance Use Disorder) Counselor
- Staten Island, NY
National Provider Identifier
1336740372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 36505
- Practice address
- 460 Brielle Ave BLDG H
Staten Island, NY 10314-6427 - Phone
- (718) 816-6589
- NPI assigned
- Nov 5, 2020
- Sex
- Male
- 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 | 36505 | NY | Primary |
Addresses
Primary practice location
460 Brielle Ave BLDG H
Staten Island, NY 10314-6427
Mailing address
460 Brielle Ave
Staten Island, NY 10314-6427
Phone (718) 816-6589
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tbartley@camelotcounseling.com |
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 |
|---|---|---|---|
| 36505 | NY | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604534400000",
"number": "1336740372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "460 BRIELLE AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103146427",
"telephone_number": "718-816-6589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "460 BRIELLE AVE BLDG H",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103146427",
"telephone_number": "718-816-6589"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARTLEY",
"first_name": "TOWAYNE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-11-05",
"last_updated": "2020-11-05",
"certification_date": "2020-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NY",
"license": "36505",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tbartley@camelotcounseling.com",
"affiliation": "N",
"endpointDescription": "email address",
"address_1": "460 Brielle Ave Bldg H",
"city": "Staten Island",
"state": "NY",
"country_code": "US",
"postal_code": "103146427",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.