Individual provider Active NPI

January Rae Whittaker, CADAC II

  • Addiction (Substance Use Disorder) Counselor
  • Jasper, IN
National Provider Identifier
1972242642
Registry record updated Jun 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
C2-51294 Issued in IN
Practice address
508 Jackson St # 102
Jasper, IN 47546-3128
Phone
(812) 817-0760
NPI assigned
Jun 1, 2022
Last updated
Jun 1, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2022

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 C2-51294 IN Primary

Addresses

Primary practice location

508 Jackson St # 102
Jasper, IN 47546-3128

Mailing address

1317 3Rd St
Bedford, IN 47421-1805
Phone (812) 797-9711

Other practice location 1

13993 E Carter Rd
Bloomfield, IN 47424-6125
Phone (812) 825-7601

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL jwhittaker@thenewdaycenter.com Direct

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
C2-51294INMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1654041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654041600000",
    "number": "1972242642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1317 3RD ST",
            "city": "BEDFORD",
            "state": "IN",
            "postal_code": "474211805",
            "telephone_number": "812-797-9711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 JACKSON ST # 102",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475463128",
            "telephone_number": "812-817-0760"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13993 E Carter Rd",
            "address_purpose": "LOCATION",
            "city": "Bloomfield",
            "state": "IN",
            "postal_code": "474246125",
            "country_code": "US",
            "telephone_number": "812-825-7601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITTAKER",
        "first_name": "JANUARY",
        "middle_name": "RAE",
        "name_prefix": "Ms.",
        "credential": "CADAC II",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-01",
        "last_updated": "2022-06-01",
        "certification_date": "2022-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IN",
            "license": "C2-51294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "jwhittaker@thenewdaycenter.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "13993 E Carter Rd",
            "city": "Bloomfield",
            "state": "IN",
            "country_code": "US",
            "postal_code": "474246125",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jasper, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2022; 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.