Active NPI
Joshua Kaplan, CADC II (COUNSELOR)
- Addiction (Substance Use Disorder) Counselor
- Southaven, MS
National Provider Identifier
1700459112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- AD21-010K
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| AD21-010K | MS | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southland Recovery, PLLC | Current | Accepting new patients | |
| Supportive Services LLC | Addiction (Substance Use Disorder) | Current | 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.
-
- Addiction Medicine (Preventive Medicine) Physician
- Southaven, MS
- NPI 1508439910
-
- Addiction (Substance Use Disorder) Counselor
- Southaven, MS
- NPI 1346947892
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.