Active NPI
Linda Edmister, CASAC 2
- Addiction (Substance Use Disorder) Counselor
- Niagara Falls, NY
National Provider Identifier
1518665777
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 36198
- Practice address
- 1001 11TH St
Niagara Falls, NY 14301-1201 - Phone
- (716) 278-8161
- NPI assigned
- Feb 17, 2023
- Last updated
- Feb 17, 2023
- Sex
- Female
- 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 | 36198 | NY | Primary |
Addresses
Primary practice location
1001 11TH St
Niagara Falls, NY 14301-1201
Mailing address
5467 Upper Mountain Rd
Lockport, NY 14094-1854
Phone (716) 439-7400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 36198 | Medicaid | NY |
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 |
|---|---|---|---|
| 36198 | NY | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676592000000",
"number": "1518665777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5467 UPPER MOUNTAIN RD",
"city": "LOCKPORT",
"state": "NY",
"postal_code": "140941854",
"telephone_number": "716-439-7400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 11TH ST",
"city": "NIAGARA FALLS",
"state": "NY",
"postal_code": "143011201",
"telephone_number": "716-278-8161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDMISTER",
"first_name": "LINDA",
"credential": "CASAC 2",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-17",
"last_updated": "2023-02-17",
"certification_date": "2023-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NY",
"license": "36198",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "36198",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Niagara Falls, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.