Individual provider Active NPI

John Arthur Shorey, MA, CADC

  • Addiction (Substance Use Disorder) Counselor
  • Kalamazoo, MI
National Provider Identifier
1770121774
Registry record updated Jul 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Practice address
401 Howard St
Kalamazoo, MI 49001-2748
Phone
(269) 344-4458
Fax
(269) 344-4459
NPI assigned
Dec 20, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 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 Primary

Addresses

Primary practice location

401 Howard St
Kalamazoo, MI 49001-2748

Mailing address

9661 Firefly Ave
Galesburg, MI 49053-9700
Phone (269) 903-0527

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
Master of Arts

NPI Registry JSON

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

{
    "created_epoch": "1576800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688688000000",
    "number": "1770121774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9661 FIREFLY AVE",
            "city": "GALESBURG",
            "state": "MI",
            "postal_code": "490539700",
            "telephone_number": "269-903-0527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 HOWARD ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490012748",
            "telephone_number": "269-344-4458",
            "fax_number": "269-344-4459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOREY",
        "first_name": "JOHN",
        "middle_name": "ARTHUR",
        "name_prefix": "Mr.",
        "credential": "MA, CADC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-20",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.