AQUILES MOUTHON JR. (NPI# 1912383050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912383050 |
| Entity Type | Individual |
| Full Name | AQUILES MOUTHON JR. |
| Credential | CASAC-T |
| Practice Address |
3114 30th Ave 2nd Floor Astoria NY 11102-1530 |
| Practice Telephone | 7182041200 |
| Practice Fax Number | 7182041276 |
| Mailing Telephone | 7182041200 |
| Mailing Fax Number | 7182041276 |
| Enumeration Date | 2015-07-30 |
| Last Update Date | 2015-07-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
28649 | NY | Behavioral Health & Social Service Providers |
| Street Address |
3114 30TH AVE 2ND FLOOR |
| City | ASTORIA |
| State | NY |
| Zip Code | 11102-1530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891825188 | Hanac, Inc. | Case Management | 3114 30th Ave, 2nd Floor, Astoria, NY 11102-1530 | 2007-03-06 |
| 1366951774 | Claire Neumann | Social Worker | 3114 30th Ave, Astoria, NY 11102-1530 | 2017-09-28 |
| 1376939736 | Kerry Mccarthy | Social Worker | 3114 30th Ave, Astoria, NY 11102-1530 | 2015-04-13 |
| 1467848127 | Henrietta Long-hall | Social Worker | 3114 30th Ave, 2nd Fl, Astoria, NY 11102-1530 | 2015-04-09 |
| 1346497716 | Irene Burns | Community Health Worker | 3114 30th Ave, Astoria, NY 11102-1530 | 2008-08-27 |
| 1225285851 | James Michael Paolino | Community Health Worker | 3114 30th Ave, Astoria, NY 11102-1530 | 2008-08-26 |
| 1063669638 | George Malandrakis | Community Health Worker | 3114 30th Ave, Astoria, NY 11102-1530 | 2008-08-26 |
| 1063693984 | Suklin Wong | Pharmacist | 3114 30th Ave, Astoria, NY 11102-1530 | 2007-11-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497301444 | Stephanie Angela Van Rossem | Nurse Practitioner | 28-18 Astoria Blvd, Astoria, Ny 11102, Astoria, NY 11102 | 2019-08-15 |
| 1831754118 | Ahmed Mohamed Sayed Zedan | Pharmacist | 3014 14th St, Astoria, NY 11102 | 2019-05-02 |
| 1841758927 | Prohealth Care Associates, LLP | Occupational Therapist | 27-17 Cresecent Street, Suite 1, Astoria, NY 11102 | 2019-03-07 |
| 1598231292 | Mayuri Ardak | Student in an Organized Health Care Education/Training Program | 25-40 30th Road Suite A1, Astoria, NY 11102 | 2018-10-19 |
| 1134626740 | Claudia Ahumada, Lcsw, Pllc | Social Worker | 2556 31st St Ste 302, Astoria, NY 11102 | 2018-04-10 |
| 1255840039 | Ashley Taylor Curaba | Physician Assistant | 25-10 30th Rd, Queens, NY 11102 | 2017-09-25 |
| 1265953517 | Kathleen Yetman | Student in an Organized Health Care Education/Training Program | 2707 8th Street, The Astoria Blue Feather Profram, Astoria, NY 11102 | 2017-06-27 |
| 1679933998 | Tarek R Khater | Clinic/Center | 2814 31st St, Suite 501, Astoria, NY 11102 | 2016-02-29 |
| 1295194116 | Individualized Family Care LLC | Community/Behavioral Health | 12-22 30th Ave, Apt 4h, Astoria, NY 11102 | 2016-02-19 |
| 1700288909 | Andre Farah Dc PC | Chiropractor | 29-15 Astoria Blvd, Astoria, NY 11102 | 2014-09-18 |
| Find all providers in zip 11102 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245703867 | Frances Charlotte Welch | Counselor | 1420 27th Ave Apt 4a, Astoria, NY 11102-3875 | 2019-01-07 |
| 1073011847 | Clark Miner | Counselor | 20 Basin St Ste 110, Astoria, OR 97103-6237 | 2018-01-26 |
| 1043610751 | Jennifer Varley | Counselor | 2575 33rd St - Apt A6, Astoria, NY 11102-3328 | 2014-08-29 |
| 1497188858 | Jennifer U Boggs | Counselor | 10 Pier 1 Ste 203, Astoria, OR 97103 | 2013-08-20 |
| 1588959431 | David T. Hsiao | Counselor | 20 Basin St Ste 106, Astoria, OR 97103-6237 | 2011-06-17 |
| 1144545187 | Michel R Meiffren | Counselor | 185 4th St, # 2, Astoria, OR 97103-4359 | 2010-04-01 |
| 1912234519 | Mark Dante Terranova | Counselor | 2911 Marine Dr Ste B, Astoria, OR 97103-2836 | 2009-11-03 |
| 1598919680 | Ruby Louisa Berdine | Counselor | 174 Commercial St, Astoria, OR 97103-4333 | 2008-11-16 |
| 1538120811 | April Smith | Counselor | 100 39th St Ste 203, Astoria, OR 97103-2455 | 2006-03-28 |
| 1366073801 | James Cook | Counselor | 2120 Exchange St Ste 203, Astoria, OR 97103-3364 | 2020-02-03 |
| Find all providers in ASTORIA | ||||
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| 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.