Lillie Maldonado

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

18746 Issued in NY

Practice address

804 Sarah St Ste 305
Stroudsburg, PA 18360-1739

Phone

(570) 422-6522

Fax

(570) 422-6524

NPI assigned

Jun 16, 2016

Last updated

Jun 16, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Best Building and Embracing Sobriety Together Inc

  • Addiction (Substance Use Disorder) Counselor
  • Stroudsburg, PA
  • NPI 1740612902
  NPD

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

{
    "created_epoch": "1466035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466035200000",
    "number": "1881044220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 SARAH ST STE 305",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183601739",
            "telephone_number": "570-422-6522",
            "fax_number": "570-422-6524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 SARAH ST STE 305",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183601739",
            "telephone_number": "570-422-6522",
            "fax_number": "570-422-6524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALDONADO",
        "first_name": "LILLIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-16",
        "last_updated": "2016-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "PA",
            "license": "457047",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "18746",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DDAP",
            "identifier": "457047",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CASAC,BHS,PROGRAM DIRECTOR,CLINICAL",
            "identifier": "18746",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Magann Family Dentistry
• Judith Ann Magann, D.M.D.
• Walter Edmund Magann Jr., DDS
• Mainstay Behavioral Health LLC
• Ariel Mary Major, FNP
• Mary L A Malloy, LCSW
• Biren Mangani, M.D.
• Angela Pearl Maranuk, PTA
• Constantin Raul Marc
• Katelyn Marie Marchand

• Addiction (Substance Use Disorder) Counselor in Stroudsburg, PA
• Providers in Stroudsburg, PA by specialty
• Addiction (Substance Use Disorder) Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.