Jctod Outreach, Inc

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

JCTOD OUTREACH, INC

Doing business as

Johnson Park Center

Practice address

26 Johnson Park
Utica, NY 13503-0160

Phone

(315) 734-9608

Fax

(315) 266-1223

NPI assigned

Apr 21, 2015

Organization subpart

No

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

Authorized official

Name

Ursula Meier, CRPA

Title

VP/Coo

Phone

(315) 269-8580

Specialties & licenses 9

Addresses

Other names 1

• Johnson Park Center Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Yanique Freeman, CASAC 2

  • Addiction (Substance Use Disorder) Counselor
  • Utica, NY
  • NPI 1619839123
  NPD (past)

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

{
    "created_epoch": "1429574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770940800000",
    "number": "1952798688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 160",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135030160",
            "telephone_number": "315-734-9608",
            "fax_number": "315-266-1223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 JOHNSON PARK",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135030160",
            "telephone_number": "315-734-9608",
            "fax_number": "315-266-1223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19 Johnson Park",
            "address_purpose": "LOCATION",
            "city": "Utica",
            "state": "NY",
            "postal_code": "135014432",
            "country_code": "US",
            "telephone_number": "315-734-9608",
            "fax_number": "315-266-1223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JCTOD OUTREACH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-21",
        "last_updated": "2026-02-13",
        "certification_date": "2026-02-13",
        "status": "A",
        "authorized_official_last_name": "MEIER",
        "authorized_official_first_name": "URSULA",
        "authorized_official_title_or_position": "VP/COO",
        "authorized_official_telephone_number": "315-269-8580",
        "authorized_official_credential": "CRPA"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Johnson Park Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Susan Januszewski, RN
• Janine Jaquays, RD,CNSD
• Jared Tripoli Physical Therapy PLLC
• Jarosz Chiropractic Healing Hands of Cny, P.C.
• Stacey Jaskolka, MSN, RN, NP-C
• Jda Medical PLLC
• Hamerton David Jeanty, M.D.
• Donna Jefferson
• Jennings Cares LLC
• Alexandria Danielle Jennings, LMSW

• Substance Use Disorder Rehabilitation Clinic/Center in Utica, NY
• Providers in Utica, NY by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2026; 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.