Wilfredo Feliciano Sr., BA, LADAC1,CAS

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

LADAC1-1333,CAS-4357 Issued in MA

Practice address

22 Front St
Fall River, MA 02721-4302

Phone

(508) 676-1307

Fax

(508) 674-4493

NPI assigned

Apr 6, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Habit Opco, LLC

  dba Habit OPCO- Springfield

  • Methadone Clinic
  • Springfield, MA
  • NPI 1023175072
  NPD (past)
• Habit Opco, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Fitchburg, MA
  • NPI 1255034880
  NPD (past)

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356463400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 JOHN DUGGAN RD",
            "city": "TIVERTON",
            "state": "RI",
            "postal_code": "028781555",
            "telephone_number": "401-625-1126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 FRONT ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027214302",
            "telephone_number": "508-676-1307",
            "fax_number": "508-674-4493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELICIANO",
        "first_name": "WILFREDO",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "BA, LADAC1,CAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MA",
            "license": "LADAC1-1333,CAS-4357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Fei, M.D.
• Kurt Lawrence Feinberg, BACHELOR'S DEGREE
• Paulina Feitelberg, LCSW
• Heather M Feldman, PA
• Kira Lee Feliciano, CADC, LADC II
• Justina A Fermin
• Sara-Isabel Fernandes Medina
• Adriana Cristina Fernandes, MSW
• Cortney Lynn Fernandes, BSE
• Gail A. Fernandes, CADC

• Addiction (Substance Use Disorder) Counselor in Fall River, MA
• Providers in Fall River, MA by specialty
• Addiction (Substance Use Disorder) Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.