Active NPI
James Steck, LADC
- Addiction (Substance Use Disorder) Counselor
- Waterbury, CT
National Provider Identifier
1497570709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 1583
- Practice address
- 50 Brookside Rd
Waterbury, CT 06708-1402 - Phone
- (203) 568-7474
- NPI assigned
- Nov 21, 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 | 1583 | CT | Primary |
Addresses
Primary practice location
50 Brookside Rd
Waterbury, CT 06708-1402
Mailing address
47 Pondview Dr
Southington, CT 06489-3947
Phone (203) 707-8674
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 |
|---|---|---|---|
| 1583 | CT | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1732147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732147200000",
"number": "1497570709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "47 PONDVIEW DR",
"city": "SOUTHINGTON",
"state": "CT",
"postal_code": "064893947",
"telephone_number": "203-707-8674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 BROOKSIDE RD",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067081402",
"telephone_number": "203-568-7474"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STECK",
"first_name": "JAMES",
"credential": "LADC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-11-21",
"last_updated": "2024-11-21",
"certification_date": "2024-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CT",
"license": "1583",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waterbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.