NPIMap

Organization Active NPI

Council on Addiction Recovery Services, Inc.

Doing business as Willow House

  • Substance Abuse Rehabilitation Facility
  • Westons Mills, NY
National Provider Identifier
1992337224
Registry record updated Aug 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
COUNCIL ON ADDICTION RECOVERY SERVICES, INC.
Doing business as
Willow House
Practice address
1355 Olean-Portville Road
Westons Mills, NY 14788-1476
Phone
(716) 373-0021
Fax
(716) 373-1719
NPI assigned
Feb 5, 2020
Last updated
Aug 5, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
COUNCIL ON ADDICTION RECOVERY SERVICES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 5, 2021

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

Authorized official

Name
M'Lissa Marie Sugden, RHIA
Title
Exc Admin Asst/Compliance
Phone
(716) 373-4303

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

1355 Olean-Portville Road
Westons Mills, NY 14788-1476

Mailing address

PO Box 567
Olean, NY 14760-0567
Phone (716) 373-4303

Other identifiers 1

IdentifierTypeStateIssuer
06254773MedicaidNY

Other names 1

  • Willow House Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Council on Addiction Recovery Services Inc4 organizations share this tax ID, including this one
Part of
Council on Addiction Recovery Services Inc

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1580860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628121600000",
    "number": "1992337224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 567",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "147600567",
            "telephone_number": "716-373-4303",
            "fax_number": "716-373-4327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 OLEAN-PORTVILLE ROAD",
            "city": "WESTONS MILLS",
            "state": "NY",
            "postal_code": "147881476",
            "telephone_number": "716-373-0021",
            "fax_number": "716-373-1719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNCIL ON ADDICTION RECOVERY SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNCIL ON ADDICTION RECOVERY SERVICES, INC.",
        "enumeration_date": "2020-02-05",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A",
        "authorized_official_last_name": "SUGDEN",
        "authorized_official_first_name": "M'LISSA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "EXC ADMIN ASST/COMPLIANCE",
        "authorized_official_telephone_number": "716-373-4303",
        "authorized_official_credential": "RHIA"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06254773",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Willow House",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Willow House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Westons Mills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.