Wilfred Joseph Recore, BIS I

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

31 6TH St
Malone, NY 12953-1246

Phone

(518) 483-3261

NPI assigned

Dec 30, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Citizen Advocates, Inc

  • Mental Illness Community Based Residential Treatment Facility
  • Malone, NY
  • NPI 1477765733
  NPD
• Citizen Advocates, Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Malone, NY
  • NPI 1780619064
  NPD
• Citizen Advocates Inc

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Chateaugay, NY
  • NPI 1639391733
  NPD (past)

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

{
    "created_epoch": "1609286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609286400000",
    "number": "1720675283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 608",
            "city": "MALONE",
            "state": "NY",
            "postal_code": "129530608",
            "telephone_number": "518-483-1251",
            "fax_number": "518-497-9914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 6TH ST",
            "city": "MALONE",
            "state": "NY",
            "postal_code": "129531246",
            "telephone_number": "518-483-3261"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "215 Leary Flint Rd",
            "address_purpose": "LOCATION",
            "city": "Brasher Falls",
            "state": "NY",
            "postal_code": "136133179",
            "country_code": "US",
            "telephone_number": "315-705-3313",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "52 Church St",
            "address_purpose": "LOCATION",
            "city": "Chateaugay",
            "state": "NY",
            "postal_code": "129204408",
            "country_code": "US",
            "telephone_number": "518-497-6668",
            "fax_number": "518-497-9914",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RECORE",
        "first_name": "WILFRED",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "BIS I",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-30",
        "last_updated": "2020-12-30",
        "certification_date": "2020-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "wilfredrecore@citizenadvocates.net",
            "affiliation": "N",
            "endpointDescription": "Agency email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "52 Church St",
            "city": "Chateaugay",
            "state": "NY",
            "country_code": "US",
            "postal_code": "129204408",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Beth Szymoniak Randall, OTR
• Crystal Raville, RN
• Marcia J Raville, LCSW-R
• Samantha Reagan
• Heather Marie Recore
• Vijaya Linga Reddy, MD
• Mordechai Rehany, MD
• Morgan Reome
• Zeanna N Reyome
• Ashley Rose Ribot

• Counselor in Malone, NY
• Providers in Malone, NY by specialty
• Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2020; 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.