Active NPI
Kristen Juachon, CASAC-T
- Addiction (Substance Use Disorder) Counselor
- Carmel, NY
National Provider Identifier
1609100502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 22807
- Practice address
- 1808 Route 6
Carmel, NY 10512-2356 - Phone
- (845) 225-2700
- Fax
- (845) 225-2700
- NPI assigned
- Sep 24, 2009
- 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 | 22807 | NY | Primary |
Addresses
Primary practice location
1808 Route 6
Carmel, NY 10512-2356
Mailing address
1808 Route 6
Carmel, NY 10512-2356
Phone (845) 225-2700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22807 | Other | NY | LICENSE |
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 |
|---|---|---|---|
| 22807 | NY | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Putnam Family and Community Services Inc | Past | Accepting new patients | |
| Putnam Family and Community Services Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Counselor
- Carmel, NY
- NPI 1497737167
-
- Mental Illness Community Based Residential Treatment Facility
- Carmel, NY
- NPI 1972458545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1253750400000",
"number": "1609100502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1808 ROUTE 6",
"city": "CARMEL",
"state": "NY",
"postal_code": "105122356",
"telephone_number": "845-225-2700",
"fax_number": "845-225-2700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1808 ROUTE 6",
"city": "CARMEL",
"state": "NY",
"postal_code": "105122356",
"telephone_number": "845-225-2700",
"fax_number": "845-225-2700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUACHON",
"first_name": "KRISTEN",
"credential": "CASAC-T",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-24",
"last_updated": "2009-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NY",
"license": "22807",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "22807",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Carmel, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.