Active NPI
Robert Ellis Power Jr., PH. D
- Addiction (Substance Use Disorder) Counselor
- Brooklyn, NY
National Provider Identifier
1770046658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 35587
- Practice address
- 1007 Atlantic Ave Apt 4D
Brooklyn, NY 11238-3469 - Phone
- (516) 586-0001
- Fax
- (516) 530-1838
- NPI assigned
- Apr 9, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pastoral Counselor | 101YP1600X | EXEMPT | NY | |
| Case Manager/Care Coordinator | 171M00000X | |||
| Community Health Worker | 172V00000X | 3476 | NY | |
| Peer Specialist | 175T00000X | 3476 | NY | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 35587 | NY | Primary |
Addresses
Primary practice location
1007 Atlantic Ave Apt 4D
Brooklyn, NY 11238-3469
Mailing address
77 Sands St FL 6
Brooklyn, NY 11201-1431
Phone (516) 586-0001
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CARP-3476 | Other | NY CERTIFICATION BOARD - ASAP OF NEW YORK | |
| 01799 | Other | GA | ALCOHOL AND DRUG ABUSE CERTIFICATION BOARD OF GEORGIA (ADACBGA) |
| 35587 | Other | NY | OFFICE OF ADDICTION SERVICES AND SUPPORTS |
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35587 | NY | MD | Addiction (Substance Use Disorder) Counselor |
| EXEMPT | NY | MD | Pastoral Counselor |
| 3476 | NY | MD | Peer Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707350400000",
"number": "1770046658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "77 SANDS ST FL 6",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112011431",
"telephone_number": "516-586-0001",
"fax_number": "516-530-1838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1007 ATLANTIC AVE APT 4D",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112383469",
"telephone_number": "516-586-0001",
"fax_number": "516-530-1838"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWER",
"first_name": "ROBERT",
"middle_name": "ELLIS",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "PH. D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-09",
"last_updated": "2024-02-08",
"certification_date": "2024-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP1600X",
"taxonomy_group": "",
"desc": "Counselor, Pastoral",
"state": "NY",
"license": "EXEMPT",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "NY",
"license": "3476",
"primary": false
},
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "NY",
"license": "3476",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NY",
"license": "35587",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NY CERTIFICATION BOARD - ASAP OF NEW YORK",
"identifier": "CARP-3476",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALCOHOL AND DRUG ABUSE CERTIFICATION BOARD OF GEORGIA (ADACBGA)",
"identifier": "01799",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OFFICE OF ADDICTION SERVICES AND SUPPORTS",
"identifier": "35587",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.