Individual provider Active NPI

Cecilia Mercedes Nolasco, CASACT

  • Addiction (Substance Use Disorder) Counselor
  • Bronx, NY
National Provider Identifier
1992214514
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
33819 Issued in NY
Practice address
716 Fairmount PL
Bronx, NY 10457-6405
Phone
(718) 731-3500
NPI assigned
Sep 26, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 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 33819 NY Primary

Addresses

Primary practice location

716 Fairmount PL
Bronx, NY 10457-6405

Mailing address

716 Fairmount PL
Bronx, NY 10457-6405
Phone (718) 731-3500

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
33819NYMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Vocational Instruction Project Community Services Inc CurrentSince Jul 24, 2022 Accepting new patients

Locations

716 Fairmount Pl
Bronx, NY 10457
Phone (718) 583-5150

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1506384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1992214514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 FAIRMOUNT PL",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104576405",
            "telephone_number": "718-731-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 FAIRMOUNT PL",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104576405",
            "telephone_number": "718-731-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOLASCO",
        "first_name": "CECILIA",
        "middle_name": "MERCEDES",
        "credential": "CASACT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-26",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "33819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.