Active NPI
Jason Briggs, LMHC, CASAC, NCC
- Mental Health Counselor
- Canandaigua, NY
National Provider Identifier
1811287592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 005386
- Practice address
- 2287 State Route 21
Canandaigua, NY 14424-8837 - Phone
- (561) 843-9498
- NPI assigned
- Apr 14, 2011
- Last updated
- Oct 1, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 005386 | NY | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 22047 | NY | |
| Professional Counselor | 101YP2500X | 669294 | NY |
Addresses
Primary practice location
2287 State Route 21
Canandaigua, NY 14424-8837
Mailing address
2287 State Route 21
Canandaigua, NY 14424-8837
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 |
|---|---|---|---|
| 669294 | NY | MD | Professional Counselor |
| 22047 | NY | MD | Critical Care Medicine (Internal Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443657600000",
"number": "1811287592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2287 STATE ROUTE 21",
"city": "CANANDAIGUA",
"state": "NY",
"postal_code": "144248837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2287 STATE ROUTE 21",
"city": "CANANDAIGUA",
"state": "NY",
"postal_code": "144248837",
"telephone_number": "561-843-9498"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRIGGS",
"first_name": "JASON",
"credential": "LMHC, CASAC, NCC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-04-14",
"last_updated": "2015-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "005386",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NY",
"license": "22047",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NY",
"license": "669294",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Canandaigua, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.