Individual provider Active NPI

Andrew Tchekalenkov, MSW, CASAC 2

  • Addiction (Substance Use Disorder) Counselor
  • New York City, NY
National Provider Identifier
1578146452
Registry record updated Apr 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
31357 Issued in NY
Practice address
25 Avenue D
New York, Ny 10009
New York City, NY 10009
Phone
(646) 395-4077
NPI assigned
Apr 29, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 31357 NY Primary

Addresses

Primary practice location

25 Avenue D
New York, Ny 10009
New York City, NY 10009

Mailing address

753 Onderdonk Ave Apt 3R
Ridgewood, NY 11385-3721
Phone (347) 409-9314

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

LicenseStateTypeSpecialty
31357NYMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1619654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619654400000",
    "number": "1578146452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "753 ONDERDONK AVE APT 3R",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113853721",
            "telephone_number": "347-409-9314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 AVENUE D",
            "address_2": "NEW YORK, NY 10009",
            "city": "NEW YORK CITY",
            "state": "NY",
            "postal_code": "10009",
            "telephone_number": "646-395-4077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TCHEKALENKOV",
        "first_name": "ANDREW",
        "credential": "MSW, CASAC 2",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-29",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "31357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2021; 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.