ST. JOSEPH'S ADDICTION TREATMENT & RECOVERY CENTERS
NPI 1003549130
Peer Specialist in Schenectady, NY

Active since July 06, 2022CLIA 33D2162138 · Waiver
917 CONGRESS ST, SCHENECTADY, NY 12303(518) 357-8387 Get Directions Write a Review

NPPES record last updated: July 6, 2022. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About St. Joseph's Addiction Treatment & Recovery Centers NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ST. JOSEPH'S ADDICTION TREATMENT & RECOVERY CENTERS (NPI 1003549130) is a healthcare organization registered as a peer specialist in Schenectady, New York and active in the NPI registry since July 2022. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Kevin Provost, Manager, as its authorized official.

NPPES Registry Identity

NPI1003549130
Entity TypeOrganization
Primary Taxonomy175T00000X
Legal Business NameST. JOSEPH'S ADDICTION TREATMENT & RECOVERY CENTERS
Location Address917 CONGRESS STSchenectady, NY 12303-1727
Mailing Address159 Glenwood DrSaranac Lake, NY 12983-2385
Organization SubpartYesParent: St Josephs Rehabilitation Center, Inc
Authorized OfficialKevin ProvostManager · (518) 357-8387
Enumeration DateJuly 6, 2022
NPPES CertifiedJuly 6, 2022
✔ NPI 1003549130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
917 CONGRESS ST, Schenectady, NY 12303

Other Names 1

Other NameSt. Joseph's Guest House

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2162138

St Joseph's Addiction Treatment And Recovery Centers · Saranac Lake, NY
Active · expires Mar 26, 2027
CLIA Number33D2162138
Laboratory TypeComp. Outpatient Rehab Facility
Certificate Effective DateFebruary 19, 2019
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Craig W. Richards
Laboratory Phone(518) 891-3950
Laboratory LocationSt Joseph's Addiction Treatment And Recovery Centers159 Glenwood Drive, Saranac Lake, NY 12983
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is St. Joseph's Addiction Treatment & Recovery Centers's NPI number?

The NPI number for St. Joseph's Addiction Treatment & Recovery Centers is 1003549130. It was assigned to this organization in the NPPES registry on July 6, 2022. The provider is also known as St. Joseph's Guest House.

Where is St. Joseph's Addiction Treatment & Recovery Centers located?

St. Joseph's Addiction Treatment & Recovery Centers is located at 917 Congress St, Schenectady, NY 12303. The listed phone number is (518) 357-8387.

What is St. Joseph's Addiction Treatment & Recovery Centers's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

Does St. Joseph's Addiction Treatment & Recovery Centers hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2162138) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for St. Joseph's Addiction Treatment & Recovery Centers was last updated on July 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.