Timothy Jay Donahue, BGS BSRCE CADC
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Burlington, KS
NPI 1740447168 · NPPES record last updated May 22, 2008
Key facts
- NPI
- 1740447168
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Practice address
- 420 Kennedy St
Burlington, KS 66839-1120 - Phone
- (620) 364-2606
- Fax
- (620) 364-2551
- NPI assigned
- May 22, 2008
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Yes | ||
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
420 Kennedy St
Burlington, KS 66839-1120
Mailing address
420 Kennedy St
Burlington, KS 66839-1120
Phone (620) 364-2606
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AAPS | Other | KS | AAPS |
| BSRCE | Other | KS | BSRCE |
Other providers in Burlington, KS
- Jennifer Crane
- Christine D Currier
- Susie Rachelle Decker
- Sara Ditto
- Marie-Karl Valencia Dizon
- DRS Price Young Odle & Horsch PA
- Mark W Farthing
- Forwarding Hope, LLC
- Richard L Fox II
- Deedra Frederick
All providers in Burlington, KS · Addiction (Substance Use Disorder) Counselor in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 22, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.