Active NPI
Roxhester Regional Health System
- Addiction (Substance Use Disorder) Counselor
- Rochester, NY
National Provider Identifier
1841831252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Legal business name
- ROXHESTER REGIONAL HEALTH SYSTEM
- Practice address
- 81 Lake Ave
Rochester, NY 14608-1410 - Phone
- (585) 368-6900
- NPI assigned
- Oct 7, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennie Marie Miltello, MA
- Title
- Clinical Manager
- Phone
- (585) 368-6900
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary |
Addresses
Primary practice location
81 Lake Ave
Rochester, NY 14608-1410
Mailing address
1044 N Goodman St
Rochester, NY 14609-3941
Phone (585) 713-5598
National Provider Directory
National Provider DirectoryLocations
81 Lake Ave
Rochester, NY 14608
Phone (585) 368-6900
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570406400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1570406400000",
"number": "1841831252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1044 N GOODMAN ST",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146093941",
"telephone_number": "585-713-5598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "81 LAKE AVE",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146081410",
"telephone_number": "585-368-6900"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROXHESTER REGIONAL HEALTH SYSTEM",
"organizational_subpart": "NO",
"enumeration_date": "2019-10-07",
"last_updated": "2019-10-07",
"status": "A",
"authorized_official_last_name": "MILTELLO",
"authorized_official_first_name": "JENNIE",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "CLINICAL MANAGER",
"authorized_official_telephone_number": "585-368-6900",
"authorized_official_credential": "MA"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"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 Oct 7, 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.