Active NPI
Joseph Amico, M.DIV., CAS, LADC-1
- Addiction (Substance Use Disorder) Counselor
- Salem, MA
National Provider Identifier
1760859417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 10043
- Practice address
- 50 Washington St
Salem, MA 01970 - Phone
- (603) 852-3168
- NPI assigned
- Aug 28, 2015
- Last updated
- Aug 28, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 10043 | MA | Primary |
Addresses
Primary practice location
50 Washington St
Salem, MA 01970
Mailing address
50 Washington St
Salem, MA 01970
Phone (603) 852-3168
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
| License | State | Type | Specialty |
|---|---|---|---|
| 10043 | MA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440720000000",
"number": "1760859417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 WASHINGTON ST",
"city": "SALEM",
"state": "MA",
"postal_code": "01970",
"telephone_number": "603-852-3168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 WASHINGTON ST",
"city": "SALEM",
"state": "MA",
"postal_code": "01970",
"telephone_number": "603-852-3168"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMICO",
"first_name": "JOSEPH",
"credential": "M.DIV., CAS, LADC-1",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-08-28",
"last_updated": "2015-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MA",
"license": "10043",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salem, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.