Aquiles Mouthon Jr., CASAC-T

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

28649 Issued in NY

Practice address

3114 30TH Ave
2ND Floor
Astoria, NY 11102-1530

Phone

(718) 204-1200

Fax

(718) 204-1276

NPI assigned

Jul 30, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Hanac, Inc.

  • Case Management Agency
  • Astoria, NY
  • NPI 1891825188
  NPD (past)

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

{
    "created_epoch": "1438214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438214400000",
    "number": "1912383050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3114 30TH AVE",
            "address_2": "2ND FLOOR",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111021530",
            "telephone_number": "718-204-1200",
            "fax_number": "718-204-1276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3114 30TH AVE",
            "address_2": "2ND FLOOR",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111021530",
            "telephone_number": "718-204-1200",
            "fax_number": "718-204-1276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUTHON",
        "first_name": "AQUILES",
        "name_suffix": "Jr.",
        "credential": "CASAC-T",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-30",
        "last_updated": "2015-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "28649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mount Sinai Hospital
• Mount Sinai Queens
• Mount Sinai Queens
• Mount Sinai School of Medicine (MSHQ-Anesthesiology)
• Tarek Mohamed Mousa, MD, PHD
• David Mouzon, M.A.
• Movement for the Mind Creative Arts Therapy PLLC
• Movement Solutions Physical Therapy and Performance LLC
• Derelis Movilla, PA
• Alexander Michael Mozeika, MD, PHARMD

• Addiction (Substance Use Disorder) Counselor in Astoria, NY
• Providers in Astoria, NY by specialty
• Addiction (Substance Use Disorder) Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2015; 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.