Individual provider Active NPI

Jason William Maki

  • Addiction (Substance Use Disorder) Counselor
  • Asheville, NC
National Provider Identifier
1619439643
Registry record updated Mar 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
24677 Issued in NC
Practice address
6 Roberts Rd Ste 103
Asheville, NC 28803-6631
Phone
(828) 505-3086
NPI assigned
Mar 31, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X P012873 NC
Addiction (Substance Use Disorder) Counselor 101YA0400X 24677 NC Primary

Addresses

Primary practice location

6 Roberts Rd Ste 103
Asheville, NC 28803-6631

Mailing address

53 Liberty Cir
Candler, NC 28715-9448
Phone (828) 708-3531

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
24677NCMDAddiction (Substance Use Disorder) Counselor
P012873NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Crossroads Treatment Centers of Asheville, PC Addiction (Substance Use Disorder) PastSince Sep 8, 2024 Accepting new patients
Crossroads Treatment Center, LLC 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.

NPI Registry JSON

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

{
    "created_epoch": "1553990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553990400000",
    "number": "1619439643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 LIBERTY CIR",
            "city": "CANDLER",
            "state": "NC",
            "postal_code": "287159448",
            "telephone_number": "828-708-3531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 ROBERTS RD STE 103",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288036631",
            "telephone_number": "828-505-3086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKI",
        "first_name": "JASON",
        "middle_name": "WILLIAM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-31",
        "last_updated": "2019-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P012873",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "24677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2019; 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.