Community Addiction Recovery LLC

Primary specialty

Addiction Medicine (Preventive Medicine) PhysicianTaxonomy code 2083A0300X

Legal business name

COMMUNITY ADDICTION RECOVERY LLC

Practice address

436 South Main St
Stanton, KY 40380-2189

Phone

(606) 663-7597

Fax

(606) 663-7652

NPI assigned

Jul 28, 2023

Organization subpart

No

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

Authorized official

Name

Taufik Kassis, MDNPI 1174545628

Title

Owner

Phone

(606) 663-7597

Specialties & licenses 5

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Taufik Kassis, MD

  • Internal Medicine Physician
  • Frenchburg, KY
  • NPI 1174545628

  Addiction Medicine

  NPD Authorized official
• Jessica Sparks, APRN

  • Family Nurse Practitioner
  • Frenchburg, KY
  • NPI 1760059497
  NPD

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

{
    "created_epoch": "1690502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692316800000",
    "number": "1356022693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1029",
            "city": "STANTON",
            "state": "KY",
            "postal_code": "403801029",
            "telephone_number": "606-663-7597",
            "fax_number": "606-663-7652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 SOUTH MAIN ST",
            "city": "STANTON",
            "state": "KY",
            "postal_code": "403802189",
            "telephone_number": "606-663-7597",
            "fax_number": "606-663-7652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY ADDICTION RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-28",
        "last_updated": "2023-08-18",
        "certification_date": "2023-08-18",
        "status": "A",
        "authorized_official_last_name": "KASSIS",
        "authorized_official_first_name": "TAUFIK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-663-7597",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2083A0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• James Lester Click, PT
• Laura Tipton Cockrell, PT
• Commonwealth Urology, PSC
• Connective Healing LLC
• Bobbie J. Conrad
• Wanda Sue Coomer, OTRL
• Makensee Corriveau, APRN, PMHNP-BC
• Herbert A. Couch, DNP, APRN, NP-C

• All providers in Stanton, KY
• Addiction Medicine (Preventive Medicine) Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.