Organization Active NPI

Kenneth Feldstein Ladc1 - LLC

  • Addiction (Substance Use Disorder) Counselor
  • E Bridgewater, MA
National Provider Identifier
1720836141
Registry record updated May 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
KENNETH FELDSTEIN LADC1 - LLC
Practice address
36 No. Bedford Street
C22
E. Bridgewater, MA 02333-1186
Phone
(616) 615-6306
Fax
(774) 221-9196
NPI assigned
May 9, 2024
Last updated
May 9, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2024

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

Authorized official

Name
Kenneth Feldstein, LADC1NPI 1104366681
Title
Owner/Manager
Phone
(617) 615-6306

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X NU Primary

Addresses

Primary practice location

36 No. Bedford Street
C22
E. Bridgewater, MA 02333-1186

Mailing address

8 Bassett Brook LN
Duxbury, MA 02332
Phone (781) 248-3030

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1715212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715212800000",
    "number": "1720836141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 BASSETT BROOK LN",
            "city": "DUXBURY",
            "state": "MA",
            "postal_code": "02332",
            "telephone_number": "781-248-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 NO. BEDFORD STREET",
            "address_2": "C22",
            "city": "E. BRIDGEWATER",
            "state": "MA",
            "postal_code": "023331186",
            "telephone_number": "616-615-6306",
            "fax_number": "774-221-9196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH FELDSTEIN LADC1 - LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-09",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A",
        "authorized_official_last_name": "FELDSTEIN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "617-615-6306",
        "authorized_official_credential": "LADC1"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in E Bridgewater, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; 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.