Alexander Drakontaidis

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

094842-1 Issued in NY

Practice address

30 Wilson Ave
Kingston, NY 12401-2110

Phone

(845) 399-4147

Fax

(845) 399-4147

NPI assigned

May 9, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Access: Supports for Living Inc

  • Community/Behavioral Health Agency
  • Middletown, NY
  • NPI 1215122361
  NPD
• Access: Supports for Living Inc

  • Multi-Specialty Clinic/Center
  • Middletown, NY
  • NPI 1528174976
  NPD
• Access: Supports for Living Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Middletown, NY
  • NPI 1790326320
  NPD
• Grunblatt Psychology and Counseling Offices, P.C.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Kingston, NY
  • NPI 1730325531
  NPD
• Hambright Medical, PLLC

  • Addiction Medicine (Family Medicine) Physician
  • Kingston, NY
  • NPI 1275331456
  NPD
• Senior Living Behavioral Health LCSW PLLC

  • Clinical Social Worker
  • New York, NY
  • NPI 1083150056
  NPD

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

{
    "created_epoch": "1462752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589155200000",
    "number": "1487000410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 WILSON AVE",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124012110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 WILSON AVE",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124012110",
            "telephone_number": "845-399-4147",
            "fax_number": "845-399-4147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAKONTAIDIS",
        "first_name": "ALEXANDER",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-09",
        "last_updated": "2020-05-11",
        "certification_date": "2020-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "094842-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1255606406",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barbara Jeanne Downey
• Audrey Downing, LMT
• Melissa Downing
• Dr Cutugno Oncology and Hematology Specialist PLLC
• Dr Lily Zhang, DMD
• Marissa Ann Drees, DPT
• Christine Dremmel, LCSW-R
• Lawrence Edward Dresdale, PH.D.
• Katherine Driscoll, MS, CCC-SLP
• DRS. Chasin & Guarente, Optometrists, P.C.

• Mental Health Counselor in Kingston, NY
• Providers in Kingston, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.