JEFF FOOTER LMSW CASAC
NPI 1063723633
Counselor - Addiction (Substance Use Disorder) in Rochester, NY

Q: What is Jeff Footer's NPI number?

The NPI number for Jeff Footer is 1063723633. It was assigned to this individual provider in the NPPES registry on June 29, 2010.

Q: What is Jeff Footer's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Jeff Footer was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since June 29, 2010PECOS Enrolled

79 N CLINTON AVE, ROCHESTER, NY 14604(585) 546-3046(585) 546-2607 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 17, 2018, Mar 5, 2018, Feb 21, 2018 (3 updates tracked since 2018).

On this page

About Jeff Footer Lmsw Casac NPPES

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

JEFF FOOTER LMSW CASAC (NPI 1063723633) is an individual addiction (substance use disorder) provider in Rochester, New York and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS and maintains a secondary practice location in Rochester.

NPPES Registry Identity

NPI1063723633

Entity TypeIndividualMale

Primary Taxonomy101YA0400X

Provider Legal NameJEFF FOOTERCredential: LMSW CASAC

Location Address79 N CLINTON AVERochester, NY 14604-1407

Mailing Address79 N Clinton AveRochester, NY 14604-1407 · (585) 546-1271

Phone(585) 546-3046

Fax(585) 546-2607

Sole ProprietorNo

Enumeration DateJune 29, 2010

Last NPPES UpdateMarch 17, 20183 updates tracked since enumeration

✔ NPI 1063723633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

79 N CLINTON AVE, Rochester, NY 14604

Open in Google Maps ↗

Secondary Practice Location 1

Location 181 Lake AveRochester, NY 14608-1410 · Phone (585) 368-6900

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeff Footer Lmsw Casac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARY BLOMGREN CASAC. LMHC

Counselor (Mental Health)