Organization Active NPI

Young Women'S Christian Association of Rochester and Monroe County

  • Addiction (Substance Use Disorder) Counselor
  • Rochester, NY
National Provider Identifier
1417028622
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
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

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
Ms. Jean Carroll
Title
Ceo and President
Phone
(585) 368-2280

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
01456702MedicaidNY

Other names 1

  • YWCA of Rochester and Monroe County Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.