Active NPI
Dawyne Hilliard, CASAC LV LL
- Addiction (Substance Use Disorder) Counselor
- Brooklyn, NY
National Provider Identifier
1407463185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 21196
- Practice address
- 100 N Portland Ave
Brooklyn, NY 11205-2005 - Phone
- (718) 260-7786
- Fax
- (718) 260-4801
- NPI assigned
- Sep 28, 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 | 21196 | NY | Primary |
Addresses
Primary practice location
100 N Portland Ave
Brooklyn, NY 11205-2005
Mailing address
100 North Portland Ave
Room B225
Brooklyn, NY 11205-2005
Phone (718) 260-7786
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 |
|---|---|---|---|
| 21196 | 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": "1601251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601251200000",
"number": "1407463185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 NORTH PORTLAND AVE",
"address_2": "ROOM B225",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112052005",
"telephone_number": "718-260-7786",
"fax_number": "718-206-4801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 N PORTLAND AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112052005",
"telephone_number": "718-260-7786",
"fax_number": "718-260-4801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILLIARD",
"first_name": "DAWYNE",
"name_prefix": "Mr.",
"credential": "CASAC LV LL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-09-28",
"last_updated": "2020-09-28",
"certification_date": "2020-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NY",
"license": "21196",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Sep 28, 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.