Active NPI
Donna M Rafos, CASAC 2
- Addiction (Substance Use Disorder) Counselor
- Goshen, NY
National Provider Identifier
1790250868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 18880
- Practice address
- 27 Matthews St
Goshen, NY 10924-1962 - Phone
- (845) 294-8009
- Fax
- (845) 294-1369
- NPI assigned
- Oct 4, 2018
- Sex
- Female
- 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 | 18880 | NY | Primary |
Addresses
Primary practice location
27 Matthews St
Goshen, NY 10924-1962
Mailing address
27 Matthews Street
Goshen, NY 10924
Phone (845) 294-8009
Other practice location 1
27 Matthews St
Goshen, NY 10924-1962
Phone (845) 294-8009 ext. 358
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 |
|---|---|---|---|
| 18880 | NY | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catholic Charities of Orange, Sullivan & Ulster | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Goshen, NY
- NPI 1093875007
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538611200000",
"number": "1790250868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 MATTHEWS STREET",
"city": "GOSHEN",
"state": "NY",
"postal_code": "10924",
"telephone_number": "845-294-8009",
"fax_number": "845-294-1369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27 MATTHEWS ST",
"city": "GOSHEN",
"state": "NY",
"postal_code": "109241962",
"telephone_number": "845-294-8009",
"fax_number": "845-294-1369"
}
],
"practiceLocations": [
{
"address_1": "27 Matthews St",
"address_purpose": "LOCATION",
"city": "Goshen",
"state": "NY",
"postal_code": "109241962",
"country_code": "US",
"telephone_number": "845-294-8009 x358",
"fax_number": "845-294-1369",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAFOS",
"first_name": "DONNA",
"middle_name": "M",
"credential": "CASAC 2",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-10-04",
"last_updated": "2018-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NY",
"license": "18880",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Goshen, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.