Individual provider Active NPI

Earline Monique Asbury, M.ED, CRC, CASAC,

  • Counselor
  • Bronx, NY
National Provider Identifier
1487901526
Registry record updated Aug 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
CRC-0053824 Issued in NY
Practice address
1366 Inwood Ave
Bronx, NY 10452-3203
Phone
(646) 401-9700
Fax
(646) 401-9701
NPI assigned
Aug 8, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X CRC-0053824 NY Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X CASAC-19821 NY

Addresses

Primary practice location

1366 Inwood Ave
Bronx, NY 10452-3203

Mailing address

10425 142ND St
Jamaica, NY 11435-5027
Phone (646) 401-9700

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
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
CRC-0053824NYMDCounselor
CASAC-19821NYMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1344384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344384000000",
    "number": "1487901526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10425 142ND ST",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114355027",
            "telephone_number": "646-401-9700",
            "fax_number": "646-401-9701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1366 INWOOD AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104523203",
            "telephone_number": "646-401-9700",
            "fax_number": "646-401-9701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASBURY",
        "first_name": "EARLINE",
        "middle_name": "MONIQUE",
        "name_prefix": "Mrs.",
        "credential": "M.ED, CRC, CASAC,",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-08",
        "last_updated": "2012-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NY",
            "license": "CRC-0053824",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "CASAC-19821",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2012; 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.