Active NPI
Young Women'S Christian Association of Rochester and Monroe County
- Addiction (Substance Use Disorder) Counselor
- Rochester, NY
National Provider Identifier
1417028622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Legal business name
- YOUNG WOMEN'S CHRISTIAN ASSOCIATION OF ROCHESTER AND MONROE COUNTY
- Practice address
- 175 Clinton Ave N
Rochester, NY 14604-1109 - Phone
- (585) 546-5820
- Fax
- (585) 546-1077
- NPI assigned
- Nov 10, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Jean Carroll
- Title
- Ceo and President
- Phone
- (585) 368-2280
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | NY | Primary |
Addresses
Primary practice location
175 Clinton Ave N
Rochester, NY 14604-1109
Mailing address
175 Clinton Ave N
Rochester, NY 14604-1109
Phone (585) 546-5820
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01456702 | Medicaid | NY |
Other names 1
- YWCA of Rochester and Monroe County
National Provider Directory
National Provider DirectoryLocations
175 N Clinton Ave
Rochester, NY 14604
Phone (585) 546-5820
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Case Manager/Care Coordinator
- Rochester, NY
- NPI 1265090716
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163116800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1417028622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "175 CLINTON AVE N",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146041109",
"telephone_number": "585-546-5820",
"fax_number": "585-546-1077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 CLINTON AVE N",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146041109",
"telephone_number": "585-546-5820",
"fax_number": "585-546-1077"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YOUNG WOMEN'S CHRISTIAN ASSOCIATION OF ROCHESTER AND MONROE COUNTY",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-10",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "CARROLL",
"authorized_official_first_name": "JEAN",
"authorized_official_title_or_position": "CEO AND PRESIDENT",
"authorized_official_telephone_number": "585-368-2280",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01456702",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "YWCA of Rochester and Monroe County",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Rochester, 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.