Individual provider Active NPI

Omar Salas, MA LCADC LAC CTTS

  • Addiction (Substance Use Disorder) Counselor
  • Clifton, NJ
National Provider Identifier
1841755535
Registry record updated Feb 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
37LC00157400 Issued in NJ
Practice address
1157 Main Ave
Clifton, NJ 07011-2243
Phone
(973) 341-9869
NPI assigned
Feb 6, 2019
Last updated
Feb 6, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 37LC00157400 NJ Primary
Mental Health Counselor 101YM0800X 37AC00424500 NJ

Addresses

Primary practice location

1157 Main Ave
Clifton, NJ 07011-2243

Mailing address

1157 Main Ave
Clifton, NJ 07011-2243
Phone (973) 341-9869

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

State licenses

LicenseStateTypeSpecialty
37LC00157400NJMDAddiction (Substance Use Disorder) Counselor
37AC00424500NJMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1549411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549411200000",
    "number": "1841755535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1157 MAIN AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070112243",
            "telephone_number": "973-341-9869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1157 MAIN AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070112243",
            "telephone_number": "973-341-9869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALAS",
        "first_name": "OMAR",
        "credential": "MA LCADC LAC CTTS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-02-06",
        "last_updated": "2019-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00157400",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37AC00424500",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2019; 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.