Active NPI
Raymond Arthur Yanklowitz, LADC
- Addiction (Substance Use Disorder) Counselor
- Rutland, VT
National Provider Identifier
1902340904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 151.0124297
- Practice address
- 202 N Main St
Rutland, VT 05701-2411 - Phone
- (866) 639-9573
- NPI assigned
- Dec 9, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 151.0124297 | VT | Primary |
Addresses
Primary practice location
202 N Main St
Rutland, VT 05701-2411
Mailing address
77 McCrea St
Fort Edward, NY 12828-1428
Phone (518) 415-8524
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 |
|---|---|---|---|
| 151.0124297 | VT | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Manchester Alcoholism Rehabilitation Center | Addiction (Substance Use Disorder) | Past | Accepting new patients |
| Forensic Consultation & Counseling Service | Addiction (Substance Use Disorder) | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Addiction (Substance Use Disorder) Counselor
- Rutland, VT
- NPI 1083997563
Addiction (Substance Use Disorder)
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Manchester, NH
- NPI 1720151830
Addiction (Substance Use Disorder)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1481241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481241600000",
"number": "1902340904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "77 MCCREA ST",
"city": "FORT EDWARD",
"state": "NY",
"postal_code": "128281428",
"telephone_number": "518-415-8524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 N MAIN ST",
"city": "RUTLAND",
"state": "VT",
"postal_code": "057012411",
"telephone_number": "866-639-9573"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YANKLOWITZ",
"first_name": "RAYMOND",
"middle_name": "ARTHUR",
"credential": "LADC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-12-09",
"last_updated": "2016-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "VT",
"license": "151.0124297",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rutland, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.