Hillary Jackson, CASAC-T

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

33443 Issued in NY

Practice address

21 Old Route 6
Carmel, NY 10512-2107

Phone

(845) 225-5202

Fax

(845) 704-6178

NPI assigned

Jul 12, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Arms Acres Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Carmel, NY
  • NPI 1235184227
  NPD (past)
• Arms Acres Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Bronx, NY
  • NPI 1649474552
  NPD (past)

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

{
    "created_epoch": "1531353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531353600000",
    "number": "1740766880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 GLENRIDGE RD",
            "city": "GLENVILLE",
            "state": "NY",
            "postal_code": "123024523",
            "telephone_number": "518-952-8408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 OLD ROUTE 6",
            "city": "CARMEL",
            "state": "NY",
            "postal_code": "105122107",
            "telephone_number": "845-225-5202",
            "fax_number": "845-704-6178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "HILLARY",
        "credential": "CASAC-T",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-12",
        "last_updated": "2018-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "33443",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01420795",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kyle John Ioos, DPT
• Ira a. Schwartz, M.D., P.C.
• Marlom Irvis
• Fateema Islam, D.O
• Praveen George Issac, P.T
• Frankie C Janiec, LMSW
• Jay a. Motola, MD
• Mallory Jennes
• Jo Jo Bees
• Adedayo Oluwagbeminiyi Jobi-Odeneye, MD, MPH

• Addiction (Substance Use Disorder) Counselor in Carmel, NY
• Providers in Carmel, NY by specialty
• Addiction (Substance Use Disorder) Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2018; 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.