Organization Active NPI

Confidential Help for Alcohol and Drugs, Inc.

  • Addiction (Substance Use Disorder) Counselor
  • Auburn, NY
National Provider Identifier
1366456329
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
CONFIDENTIAL HELP FOR ALCOHOL AND DRUGS, INC.
Practice address
75 Genesee St
Ste 4
Auburn, NY 13021-3644
Phone
(315) 253-9786
Fax
(315) 253-7502
NPI assigned
Jul 27, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Kevin D Hares, CASAC
Title
Executive Director
Phone
(315) 253-9786

Specialties & licenses 1

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

Addresses

Primary practice location

75 Genesee St
Ste 4
Auburn, NY 13021-3644

Mailing address

75 Genesee St
Ste 4
Auburn, NY 13021-3644
Phone (315) 253-9786

Other identifiers 1

IdentifierTypeStateIssuer
00949853MedicaidNY

Other names 1

  • C.H.A.D. Other name

National Provider Directory

National Provider Directory

Locations

75 Genesee St
Ste 4
Auburn, NY 13021
Phone (315) 253-9786

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366456329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 GENESEE ST",
            "address_2": "STE 4",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130213644",
            "telephone_number": "315-253-9786",
            "fax_number": "315-253-7502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 GENESEE ST",
            "address_2": "STE 4",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130213644",
            "telephone_number": "315-253-9786",
            "fax_number": "315-253-7502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONFIDENTIAL HELP FOR ALCOHOL AND DRUGS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARES",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "315-253-9786",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CASAC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00949853",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "C.H.A.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Auburn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.