Individual provider Active NPI

Joshua Kaplan, CADC II (COUNSELOR)

  • Addiction (Substance Use Disorder) Counselor
  • Southaven, MS
National Provider Identifier
1700459112
Registry record updated Sep 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
AD21-010K Issued in MS
Practice address
8830 Centre St Ste 5
Southaven, MS 38671-2609
Phone
(662) 510-2523
Fax
(662) 510-2527
NPI assigned
Jul 22, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2023

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 AD21-010K MS Primary

Addresses

Primary practice location

8830 Centre St Ste 5
Southaven, MS 38671-2609

Mailing address

812 Rock Rd
Memphis, TN 38122-4331
Phone (901) 517-7471

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
AD21-010KMSMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Southland Recovery, PLLC Current Accepting new patients
Supportive Services LLC Addiction (Substance Use Disorder) CurrentSince Oct 1, 2023 Accepting new patients

Locations

8830 Centre St
Ste 5
Southaven, MS 38671
Phone (662) 510-2523

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": "1626912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695686400000",
    "number": "1700459112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 ROCK RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381224331",
            "telephone_number": "901-517-7471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8830 CENTRE ST STE 5",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386712609",
            "telephone_number": "662-510-2523",
            "fax_number": "662-510-2527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAPLAN",
        "first_name": "JOSHUA",
        "credential": "CADC II (COUNSELOR)",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-22",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MS",
            "license": "AD21-010K",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southaven, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; 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.