Individual provider Active NPI

Paul Thomas Veneski, CASAC-2

  • Addiction (Substance Use Disorder) Counselor
  • Newburgh, NY
National Provider Identifier
1962003244
Registry record updated Nov 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
21321 Issued in NY
Practice address
3 Commercial PL
Newburgh, NY 12550-5306
Phone
(845) 220-2146
Fax
(845) 561-3913
NPI assigned
Nov 4, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 21321 NY Primary

Addresses

Primary practice location

3 Commercial PL
Newburgh, NY 12550-5306

Mailing address

23 Oak Dr
Monroe, NY 10950-1027
Phone (845) 220-2146

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

LicenseStateTypeSpecialty
21321NYMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1604448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604448000000",
    "number": "1962003244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 OAK DR",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109501027",
            "telephone_number": "845-220-2146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 COMMERCIAL PL",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125505306",
            "telephone_number": "845-220-2146",
            "fax_number": "845-561-3913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENESKI",
        "first_name": "PAUL",
        "middle_name": "THOMAS",
        "credential": "CASAC-2",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-04",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "21321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburgh, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2020; 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.