Organization Active NPI

Town of Smithtown Horizon'S Counseling and Education Center

  • Addiction (Substance Use Disorder) Counselor
  • Smithtown, NY
National Provider Identifier
1750827432
Registry record updated Jan 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
094530-1 Issued in NY
Legal business name
TOWN OF SMITHTOWN HORIZON'S COUNSELING AND EDUCATION CENTER
Practice address
161 E Main St
Smithtown, NY 11787-2879
Phone
(631) 360-7578
Fax
(631) 360-7687
NPI assigned
Jan 18, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2017

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

Authorized official

Name
Ms. Marie Elena Flanagan, LMSW, CASAC-T
Title
LMSW/ Addiction Counselor
Phone
(631) 360-7578

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YA0400X 094530-1 NY Primary

Addresses

Primary practice location

161 E Main St
Smithtown, NY 11787-2879

Mailing address

161 E Main St
Smithtown, NY 11787-2879
Phone (631) 360-7578

Other identifiers 1

IdentifierTypeStateIssuer
02773357MedicaidNY

National Provider Directory

National Provider Directory

Locations

161 E Main St
Smithtown, NY 11787
Phone (631) 360-7578

NPI Registry JSON

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

{
    "created_epoch": "1484697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484697600000",
    "number": "1750827432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 E MAIN ST",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872879",
            "telephone_number": "631-360-7578",
            "fax_number": "631-360-7687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 E MAIN ST",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872879",
            "telephone_number": "631-360-7578",
            "fax_number": "631-360-7687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF SMITHTOWN HORIZON'S COUNSELING AND EDUCATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-18",
        "last_updated": "2017-01-18",
        "status": "A",
        "authorized_official_last_name": "FLANAGAN",
        "authorized_official_first_name": "MARIE",
        "authorized_official_middle_name": "ELENA",
        "authorized_official_title_or_position": "LMSW/ ADDICTION COUNSELOR",
        "authorized_official_telephone_number": "631-360-7578",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMSW, CASAC-T"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "094530-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02773357",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithtown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2017; 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.