Active NPI
Henry Kates Jr., LAC
- Addiction (Substance Use Disorder) Counselor
- Jamestown, ND
National Provider Identifier
1679645360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 1396
- Practice address
- 2605 Circle Dr SE
Jamestown, ND 58401 - Phone
- (701) 253-3650
- NPI assigned
- Nov 15, 2006
- Sex
- Male
- 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 | 1396 | ND | Primary |
Addresses
Primary practice location
2605 Circle Dr SE
Jamestown, ND 58401
Mailing address
2605 Circle Dr SE
Jamestown, ND 58401
Phone (701) 253-3650
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 019170 | Other | ND | BCBS PROVIDER NUMBER |
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 |
|---|---|---|---|
| 1396 | ND | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225324800000",
"number": "1679645360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2605 CIRCLE DR SE",
"city": "JAMESTOWN",
"state": "ND",
"postal_code": "58401",
"telephone_number": "701-253-3650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2605 CIRCLE DR SE",
"city": "JAMESTOWN",
"state": "ND",
"postal_code": "58401",
"telephone_number": "701-253-3650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KATES",
"first_name": "HENRY",
"name_suffix": "Jr.",
"credential": "LAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-15",
"last_updated": "2008-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "ND",
"license": "1396",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER NUMBER",
"identifier": "019170",
"state": "ND"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jamestown, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.