Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Theron Ison, CASAC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1598083123

Theron Ison, CASAC is an Addiction (Substance Use Disorder) Counselor in Flushing, New York. Works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2010
Specialties on file
2

Practice location Address checks out

16005 76th Ave Apt 1B
Flushing, NY 11366-1108
Phone: (347) 564-3552
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9729 64th Rd, Rego Park, NY 11374-2240 — (718) 896-3400

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 098569 (NY)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 17336 (NY)

Record details

NPI number1598083123
Entity typeIndividual (Type 1)
GenderMale
Credentials CASAC
Sole proprietorNo
NPI enumeratedMay 6, 2010
Last updated in NPPESNovember 7, 2024
Certification dateNovember 7, 2024
Mailing address16005 76th Ave, 1b, Flushing, NY 11366-1108

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