Individual provider Active NPI

Constance Diane Pentony-Brown, CASAC-G

  • Addiction (Substance Use Disorder) Counselor
  • Brooklyn, NY
National Provider Identifier
1417215617
Registry record updated May 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
CASAC-10898 Issued in NY
Practice address
449 39TH St
Brooklyn, NY 11232-2909
Phone
(718) 871-2400
Fax
(718) 871-6431
NPI assigned
Apr 25, 2012
Last updated
May 5, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2020

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 CASAC-10898 NY Primary

Addresses

Primary practice location

449 39TH St
Brooklyn, NY 11232-2909

Mailing address

449 39TH St
Brooklyn, NY 11232-2909
Phone (718) 871-2400

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

LicenseStateTypeSpecialty
CASAC-10898NYMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Detox of Brooklyn, LLC CurrentSince Sep 5, 2023 Accepting new patients

Locations

449 39th St
Brooklyn, NY 11232
Phone (718) 871-2300

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1335312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588636800000",
    "number": "1417215617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "449 39TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112322909",
            "telephone_number": "718-871-2400",
            "fax_number": "718-871-6431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "449 39TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112322909",
            "telephone_number": "718-871-2400",
            "fax_number": "718-871-6431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENTONY-BROWN",
        "first_name": "CONSTANCE",
        "middle_name": "DIANE",
        "name_prefix": "Ms.",
        "credential": "CASAC-G",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-25",
        "last_updated": "2020-05-05",
        "certification_date": "2020-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "CASAC-10898",
            "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 May 5, 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.