Organization Active NPI

Town of Smithtown Horizons Counseling Ctr

  • Addiction (Substance Use Disorder) Counselor
  • Smithtown, NY
National Provider Identifier
1598840787
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
TOWN OF SMITHTOWN HORIZONS COUNSELING CTR
Practice address
124 W Main St
Smithtown, NY 11787-2605
Phone
(631) 360-7578
Fax
(631) 360-7687
NPI assigned
Oct 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Elaine Economopoulos, CASAC,CPP
Title
Director
Phone
(631) 360-7578

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X NY Primary

Addresses

Primary practice location

124 W Main St
Smithtown, NY 11787-2605

Mailing address

124 W Main St
Smithtown, NY 11787-2605
Phone (631) 360-7578

Other identifiers 1

IdentifierTypeStateIssuer
02773357MedicaidNY

National Provider Directory

National Provider Directory

Locations

124 W Main St
Smithtown, NY 11787
Phone (631) 360-7578

99 W Main St
Smithtown, NY 11787

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598840787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 W MAIN ST",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872605",
            "telephone_number": "631-360-7578",
            "fax_number": "631-360-7687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 W MAIN ST",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872605",
            "telephone_number": "631-360-7578",
            "fax_number": "631-360-7687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF SMITHTOWN HORIZONS COUNSELING CTR",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ECONOMOPOULOS",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "631-360-7578",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CASAC,CPP"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02773357",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithtown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.