Individual provider Active NPI

Janie M Brisbane-Limehouse

  • Addiction (Substance Use Disorder) Counselor
  • Valley Cottage, NY
National Provider Identifier
1750154308
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
37450 Issued in NY
Practice address
706 Executive Blvd
Valley Cottage, NY 10989-2038
Phone
(845) 362-3904
Fax
(845) 362-5083
NPI assigned
Nov 6, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 37450 NY Primary

Addresses

Primary practice location

706 Executive Blvd
Valley Cottage, NY 10989-2038

Mailing address

706 Executive Blvd Ste D
Valley Cottage, NY 10989-2039
Phone (845) 362-3904

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
37450NYMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1699228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1750154308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 EXECUTIVE BLVD STE D",
            "city": "VALLEY COTTAGE",
            "state": "NY",
            "postal_code": "109892039",
            "telephone_number": "845-362-3904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 EXECUTIVE BLVD",
            "city": "VALLEY COTTAGE",
            "state": "NY",
            "postal_code": "109892038",
            "telephone_number": "845-362-3904",
            "fax_number": "845-362-5083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRISBANE-LIMEHOUSE",
        "first_name": "JANIE",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-06",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "37450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Cottage, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.

Verify at the official NPI Registry.