Active NPIIndividual providerSole proprietor

Benjamin Backes, LADC

Counselor, Addiction (Substance Use Disorder) in Old Saybrook, Connecticut

NPI Number1225503279
Practice location
251 Main St Ste 101, Old Saybrook, CT 06475-2357
Fax
—
Last updated
October 5, 2018

Benjamin Backes is a Counselor, Addiction (Substance Use Disorder) based in Old Saybrook, CT. Benjamin Backes practices in Old Saybrook, CT and has the professional credentials of LADC. The NPI Number for Benjamin Backes is 1225503279 and holds a License No. 44.001308 (CT). The current practice location address for Benjamin Backes is 251 Main St Ste 101, Old Saybrook, CT 06475-2357 and can be reached out via phone at 860-388-9656.

Provider Profile Details

NPI Number
1225503279
Provider Name
Benjamin Backes
Credential
LADC
Provider Entity Type
Individual
Gender
Male
Address
251 Main St Ste 101, Old Saybrook, CT 06475-2357
Phone Number
860-388-9656
Primary Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X
Sole Proprietor
Yes
Provider Enumeration Date
October 5, 2018
Last Update Date
October 5, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
251 Main St Ste 101
Old Saybrook, CT 06475-2357
Zip
06475-2357
Phone Number
860-388-9656
Old Saybrook, CT 06475Get directions →

Provider Business Mailing Address Details

Address
140 Mill St Apt 533
East Haven, CT 06512-1071
City
East Haven
State
CT
Zip
06512-1071
Phone Number
203-671-0917

License Information

License Number
44.001308
License State
CT
Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Benjamin Backes, LADC?

The NPI number of Benjamin Backes, LADC is 1225503279. It was assigned on October 5, 2018 and is currently active in the NPPES registry.

What is the specialty of Benjamin Backes, LADC?

Benjamin Backes, LADC is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in CT under license number 44.001308.

Where does Benjamin Backes, LADC practice?

The practice location is 251 Main St Ste 101, Old Saybrook, CT 06475-2357. The office can be reached at 860-388-9656 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1225503279 directly on the NPPES registry website.

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