National Provider Identifier

Timothy E Jervis, CASAC-T CRPA-P

Timothy E Jervis, CASAC-T CRPA-P is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor in New Rochelle, NY and a listed phone number of (914) 613-0700.

NPI 1790317956New Rochelle, NYAddiction (Substance Use Disorder) Counselor

Source: public NPPES record, last updated February 06, 2020. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.

Profile Overview

NPI
1790317956
Provider Type
Individual
Primary Specialty
Addiction (Substance Use Disorder) Counselor
Enumeration Date
February 06, 2020
Last Updated
February 06, 2020

Practice Location

  • 20 Sickles Ave
  • New Rochelle, NY 10801-4030

Phone: (914) 613-0700

Mailing Address

  • 14 Amsterdam Pl Apt 4A
  • Mount Vernon, NY 10553-1474

Specialties

  • Addiction (Substance Use Disorder) Counselor (101YA0400X)

Browse Similar Providers

See more providers in the Counselor classification in New Rochelle, NY.

Open Counselor providers in New Rochelle, NY

Open the exact Addiction (Substance Use Disorder) specialty directory in New Rochelle, NY

Biography

Timothy Jervis is a New Rochelle-based addiction-services professional with listed CASAC-T and CRPA-P credentials. In New York, OASAS credentialing covers CASAC-T substance-use counselor credentials, while the NY Certification Board oversees CRPA training and certification for non-clinical recovery support, placing his background at the intersection of counseling preparation and peer recovery advocacy.

Related Providers

These published providers share the same primary specialty and city. This is a directory relationship, not a recommendation or verified affiliation.

Full Record
NPI
1790317956
Entity Type
Individual
Last Name
Jervis
First Name
Timothy
Middle Name
E
Credential
CASAC-T CRPA-P
Mailing Street Address
14 Amsterdam Pl Apt 4A
Mailing City
Mount Vernon
Mailing State
NY
Mailing ZIP Code
10553-1474
Mailing Country
US
Mailing Phone
(646) 271-3281
Practice Street Address
20 Sickles Ave
Practice City
New Rochelle
Practice State
NY
Practice ZIP Code
10801-4030
Practice Country
US
Practice Phone
(914) 613-0700
Practice Fax
(914) 355-5425
Enumeration Date
February 06, 2020
Last Updated
February 06, 2020
Sex
Male
Sole Proprietor
Yes
Certification Date
February 06, 2020
Taxonomies
Addiction (Substance Use Disorder) Counselor (101YA0400X)