Individual provider Active NPI

Joe Raymond On, CASAC # 20936

  • Addiction (Substance Use Disorder) Counselor
  • Brooklyn, NY
National Provider Identifier
1356985360
Registry record updated Nov 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Practice address
175 Remsen St Ste 900
Brooklyn, NY 11201-4300
Phone
(718) 858-6631
Fax
(347) 689-4677
NPI assigned
Nov 1, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Primary

Addresses

Primary practice location

175 Remsen St Ste 900
Brooklyn, NY 11201-4300

Mailing address

175 Remsen St Ste 900
Brooklyn, NY 11201-4300
Phone (718) 858-6631

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address joe.on@csedny.org Direct

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

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Service of Edny, Inc. CurrentSince Nov 17, 2019 Accepting new patients

Locations

175 Remsen St
Ste 900
Brooklyn, NY 11201
Phone (718) 858-6631

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.

NPI Registry JSON

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

{
    "created_epoch": "1572566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572566400000",
    "number": "1356985360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 REMSEN ST STE 900",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112014300",
            "telephone_number": "718-858-6631",
            "fax_number": "347-689-4677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 REMSEN ST STE 900",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112014300",
            "telephone_number": "718-858-6631",
            "fax_number": "347-689-4677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ON",
        "first_name": "JOE",
        "middle_name": "RAYMOND",
        "credential": "CASAC # 20936",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-11-01",
        "last_updated": "2019-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "joe.on@csedny.org",
            "affiliation": "N",
            "endpointDescription": "joe.on@csedny.org",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "175 Remsen St Ste 900",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112014300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2019; 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.