Northeast Substance Abuse Professionals, LLC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

NORTHEAST SUBSTANCE ABUSE PROFESSIONALS, LLC

Practice address

411 Shannock Rd
Wakefield, RI 02879-4750

Phone

(401) 209-0902

NPI assigned

Feb 6, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Jonathan J Burrows, MA, LCDP, SAP

Title

Corporate Officer

Phone

(401) 209-0902

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1612569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613606400000",
    "number": "1952993438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 SHANNOCK RD",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028794750",
            "telephone_number": "401-209-0902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 SHANNOCK RD",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028794750",
            "telephone_number": "401-209-0902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST SUBSTANCE ABUSE PROFESSIONALS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-06",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A",
        "authorized_official_last_name": "BURROWS",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CORPORATE OFFICER",
        "authorized_official_telephone_number": "401-209-0902",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA, LCDP, SAP"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Addiction (Substance Use Disorder) Counselor in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2021; 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.