FINGER LAKES AREA COUNSELING AND RECOVERY AGENCY, INC. (NPI# 1366434011) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366434011 |
| Entity Type | Organization |
| Organization Name | FINGER LAKES AREA COUNSELING AND RECOVERY AGENCY, INC. |
| Other Organization Name | FINGER LAKES ADDICTION COUNSELING AND REFERRAL AGENCY |
| Practice Address |
28 E Main St Clifton Springs NY 14432 |
| Mailing Address |
28 E Main St Clifton Springs NY 14432-1231 |
| Practice Telephone | 3154629466 |
| Practice Fax Number | 3154626400 |
| Mailing Telephone | 3154629466 |
| Mailing Fax Number | 3154626400 |
| Enumeration Date | 2005-08-18 |
| Last Update Date | 2018-08-24 |
| Authorized Official Name | MR. MARTIN TELLER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3154629466 |
| Authorized Official Credential | MA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
8481001A | NY | Ambulatory Health Care Facilities |
| N | 324500000X | Substance Abuse Rehabilitation Facility | 190312132 | NY | Residential Treatment Facilities |
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
NY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | BLUE CHOICE | P014003753 | 01 |
| NY | PFC | 103019AM | 01 |
| NY | BS | FL | 01 |
| NY | 00590372 | 05 | |
| NY | BCH INPT | P012003753 | 01 |
| Other Name | Type Code |
|---|---|
| Finger Lakes Addiction Counseling and Referral Agency | Former Legal Business Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | FINGER LAKES AREA COUNSELING AND RECOVERY AGENCY, INC. | 28 East Main Street, Clifton Springs, New York 14432 |
| Street Address |
28 E MAIN ST |
| City | CLIFTON SPRINGS |
| State | NY |
| Zip Code | 14432 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982035259 | David Roemer | Psychiatry & Neurology | 28 E Main Street, Clifton Springs, NY 14432 | 2013-12-11 |
| 1477821122 | Margaret Lewis Carlson | Registered Nurse | 1510 Rt 488, Clifton Springs, NY 14432 | 2011-12-09 |
| 1063698769 | Debra J Gates | Nurse Practitioner | Rrhs Clifton Springs Hospital and Clinic - Endocrine, 2 Coulter Rd, Clifton Springs, NY 14432 | 2008-01-14 |
| 1154457042 | Elaine M. Allen | Massage Therapist | 31 Pleasant Street, Clifton Springs, NY 14432 | 2007-02-26 |
| 1568514271 | Tracy Ford | Physical Therapist | 440 Clifton Springs Professional Park, Clifton Springs, NY 14432 | 2007-01-16 |
| 1265482400 | Lynn M Sievert | Internal Medicine | 6 Ambulance Drive, Clifton Springs, NY 14432 | 2006-05-10 |
| 1376531590 | Ileana Hernandez | Internal Medicine | 2 Coulter Rd, Clifton Springs, NY 14432 | 2005-10-11 |
| 1104483858 | Mara Elizabeth Schroeder | Physician Assistant | 2 Coulter Rd, Clifton Springs, NY 14432 | 2019-05-28 |
| 1972024602 | Andrea L Nichols | Specialist/Technologist, Other | 210 Clifton Springs Professional Park, Clifton Springs, NY 14432 | 2017-07-03 |
| 1538689435 | Leigh Battin | Case Manager/Care Coordinator | 210 Clifton Springs Professional Park, Clifton Springs, NY 14432 | 2017-06-21 |
| Find all providers in zip 14432 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326652876 | Janet Ann Wheeler | Counselor | 2 Coulter Rd # W1, Clifton Springs, NY 14432-1122 | 2020-09-02 |
| 1881199180 | Kenneth Charles Bucaro | Counselor | 2 Coulter Rd, Clifton Springs, NY 14432-1122 | 2018-03-28 |
| 1760905327 | David Clayton Schlesselman | Counselor | 2 Coulter Rd, Clifton Springs, NY 14432-1122 | 2017-07-25 |
| 1659894517 | Clifton Springs Hospital & Clinic | Counselor | 2 Coulter Rd, Clifton Springs, NY 14432-1122 | 2017-07-24 |
| 1659800423 | Michelle Medina | Counselor | 2 Coulter Rd, Clifton Springs, NY 14432-1122 | 2017-06-06 |
| 1891234308 | Janine M Coppini | Counselor | 2 Coulter Rd, Woodbury Building, Clifton Springs, NY 14432-1122 | 2017-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578622 | Roberto Javier Torres | Counselor | 115 Angelacrest Ln, West Seneca, NY 14224-3819 | 2020-11-05 |
| 1386245595 | Liliana Maria Calle | Counselor | 1510 Waters Pl Fl 2, Bronx, NY 10461-2700 | 2020-11-04 |
| 1245831528 | Multi Assistance Resource Centers Inc. | Counselor | 509 Willis Ave Fl 4, Bronx, NY 10455-4001 | 2020-11-04 |
| 1952902371 | Brandon Chevere | Counselor | 175 Remsen St Fl 9, Brooklyn, NY 11201-4333 | 2020-11-03 |
| 1619577541 | Josselyn D Carias-rodriguez | Counselor | 90 Cherry Ln, Hicksville, NY 11801-6232 | 2020-10-29 |
| 1275133688 | Carol Hunt | Counselor | 76 Humboldt Pkwy, Buffalo, NY 14214-2605 | 2020-10-27 |
| 1598363806 | Anabel Lago-pedrick | Counselor | 539 County Road 40, Maplecrest, NY 12454-1245 | 2020-10-09 |
| 1386241511 | Kelly Jensen | Counselor | 255 Delaware Ave Ste 3000, Buffalo, NY 14202-2016 | 2020-10-01 |
| 1538776091 | James Mcrae | Counselor | 100 N Portland Ave Rm B228, Brooklyn, NY 11205-2005 | 2020-09-29 |
| 1215544036 | Jeanette Malpica-oskowitz | Counselor | 100 N Portland Ave # B217, Brooklyn, NY 11205-2005 | 2020-09-25 |
| Find all providers with the same taxonomy | ||||
| City | CLIFTON SPRINGS |
| Zip Code | 14432 |
Please comment or provide details below to improve the information on FINGER LAKES AREA COUNSELING AND RECOVERY AGENCY, INC..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.