Leonardo De Jesus Berroa, CASAC-T
Counselor, Addiction (Substance Use Disorder) in Middletown, NY. Individual provider (NPI-1).
NPI number1467036616
StatusActive
Last updated in NPPESMay 12, 2021
Details
- NPI
- 1467036616
- Entity type
- Individual (NPI-1)
- Name
- Mr. Leonardo De Jesus Berroa
- Credential
- CASAC-T
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 12, 2021
- Certification date
- May 12, 2021
- Last updated
- May 12, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 35808 | NY | Yes |
Practice location
7 Railroad AveMiddletown, NY 10940-4907
Phone 845-342-5941
Mailing address
7 Railroad AveMiddletown, NY 10940-4907
Phone 845-342-5941
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 40 Addiction (Substance Use Disorder) Counselor providers in Middletown · All 3,176 providers in Middletown
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