Active NPI
John T Gilleese III, LADC
- Addiction (Substance Use Disorder) Counselor
- New London, CT
National Provider Identifier
1437975273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 000928
- Practice address
- Recovery Twelve Solutions
155 Montauk Ave
New London, CT 06320 - Phone
- (860) 389-4324
- NPI assigned
- Nov 26, 2024
- Last updated
- Nov 26, 2024
- 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 | 000928 | CT | Primary |
Addresses
Primary practice location
Recovery Twelve Solutions
155 Montauk Ave
New London, CT 06320
Mailing address
155 Montauk Ave
New London, CT 06320
Phone (860) 389-4327
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 |
|---|---|---|---|
| 000928 | CT | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Recovery Twelve Solutions, Inc. | Addiction (Substance Use Disorder) | Current | Accepting new patients |
| Southeastern Pulmonary Assoc. PC | Past | Accepting new patients |
Locations
155 Montauk Ave
New London, CT 06320
Phone (860) 444-2223
Organizations & group practices 2
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1732579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732579200000",
"number": "1437975273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155 MONTAUK AVE",
"city": "NEW LONDON",
"state": "CT",
"postal_code": "06320",
"telephone_number": "860-389-4327",
"fax_number": "860-574-9676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "RECOVERY TWELVE SOLUTIONS",
"address_2": "155 MONTAUK AVE",
"city": "NEW LONDON",
"state": "CT",
"postal_code": "06320",
"telephone_number": "860-389-4324"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILLEESE",
"first_name": "JOHN",
"middle_name": "T",
"name_prefix": "Mr.",
"name_suffix": "III",
"credential": "LADC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-11-26",
"last_updated": "2024-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CT",
"license": "000928",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New London, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.