Jeffrey Caris, MA

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

00642-1 Issued in NY

Practice address

150 Lake St
Elmira, NY 14901-3401

Phone

(607) 737-5215

Fax

(607) 737-5219

NPI assigned

Apr 19, 2013

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Tioga County

  • Clinical Social Worker
  • Owego, NY
  • NPI 1124099700
  NPD

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

{
    "created_epoch": "1366329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453334400000",
    "number": "1922442052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 LAKE ST",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149013401",
            "telephone_number": "607-737-5215",
            "fax_number": "607-737-5219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 LAKE ST",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149013401",
            "telephone_number": "607-737-5215",
            "fax_number": "607-737-5219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARIS",
        "first_name": "JEFFREY",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-19",
        "last_updated": "2016-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "00642-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1336163963",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Capandonis
• James Capanegro, DO
• Capilli Physical Therapy PLLC
• Mollie Caporiccio
• Vincent Carfagno, DO
• Carolyn Elizabeth Carpenter
• Douglas Lloyd Carpenter
• Kristen Carpenter
• Tracey Irene Carr
• Michelle Marie Carrigan, DNP

• Addiction (Substance Use Disorder) Counselor in Elmira, NY
• Providers in Elmira, 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 Jan 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.