Individual provider Active NPI

Christopher J Clase, CASAC-T, CRPA

  • Addiction (Substance Use Disorder) Counselor
  • Rochester, NY
National Provider Identifier
1811534670
Registry record updated Apr 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
38384 Issued in NY
Practice address
149 Norwich Dr
Rochester, NY 14624-1205
Phone
(585) 260-4556
NPI assigned
Nov 28, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Peer SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 175T00000X 2610 NY
Addiction (Substance Use Disorder) Counselor 101YA0400X 38384 NY Primary

Addresses

Primary practice location

149 Norwich Dr
Rochester, NY 14624-1205

Mailing address

72 Hinchey Rd
Rochester, NY 14624-2930
Phone (585) 481-8967

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

LicenseStateTypeSpecialty
38384NYMDAddiction (Substance Use Disorder) Counselor
2610NYMDPeer Specialist

NPI Registry JSON

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

{
    "created_epoch": "1574899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682035200000",
    "number": "1811534670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 HINCHEY RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146242930",
            "telephone_number": "585-481-8967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 NORWICH DR",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146241205",
            "telephone_number": "585-260-4556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLASE",
        "first_name": "CHRISTOPHER",
        "middle_name": "J",
        "credential": "CASAC-T, CRPA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-11-28",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Peer Specialist",
            "state": "NY",
            "license": "2610",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "38384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.