Individual provider Active NPI

Joseph Asa Paddock, MHC

  • Mental Health Counselor
  • Warsaw, NY
National Provider Identifier
1477147270
Registry record updated Feb 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
010892-01 Issued in NY
Practice address
39 Duncan St
Warsaw, NY 14569-1017
Phone
(585) 786-0190
NPI assigned
Feb 23, 2021
Last updated
Feb 23, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 010892-01 NY Primary

Addresses

Primary practice location

39 Duncan St
Warsaw, NY 14569-1017

Mailing address

2729 Galloway Rd
Batavia, NY 14020-9430
Phone (585) 455-0514

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.goclarity.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240116000604 NY Practitioner - Mental Health Counselor 6002268018 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

39 Duncan St
Warsaw, NY 14569-1017
Phone (585) 786-0190

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
010892-01NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Allegany Rehabilitation Associates, Inc Mental Health CurrentSince Jan 1, 2024 Accepting new patients
Allegany Rehabilitation Associates, Inc. Current Accepting new patients

Locations

1 Liberty St
Arcade, NY 14009
Phone (585) 492-1958

5550 School Rd
Gainesville, NY 14066
Phone (585) 493-2581

33 Watkins Ave
Perry, NY 14530
Phone (585) 237-0270

39 Duncan St
Warsaw, NY 14569
Phone (585) 786-0190

4220 State Route 417 W
Wellsville, NY 14895
Phone (585) 593-6300

4222 Bolivar Rd
Wellsville, NY 14895
Phone (585) 593-1655

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.

NPI Registry JSON

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

{
    "created_epoch": "1614038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614038400000",
    "number": "1477147270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2729 GALLOWAY RD",
            "city": "BATAVIA",
            "state": "NY",
            "postal_code": "140209430",
            "telephone_number": "585-455-0514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 DUNCAN ST",
            "city": "WARSAW",
            "state": "NY",
            "postal_code": "145691017",
            "telephone_number": "585-786-0190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADDOCK",
        "first_name": "JOSEPH",
        "middle_name": "ASA",
        "credential": "MHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-23",
        "last_updated": "2021-02-23",
        "certification_date": "2021-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "010892-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.goclarity.org",
            "affiliation": "N",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "39 Duncan St",
            "city": "Warsaw",
            "state": "NY",
            "country_code": "US",
            "postal_code": "145691017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Warsaw, NY

Sources for this page

Verify at the official NPI Registry.