NPIMap

Organization Active NPI

Alternative Drug & Alcohol Counseling (Adac)

  • Community/Behavioral Health Agency
  • Hagerstown, MD
National Provider Identifier
1003213695
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
106494 Issued in MD
Legal business name
ALTERNATIVE DRUG & ALCOHOL COUNSELING (ADAC)
Practice address
324 E Antietam St Ste 308
Hagerstown, MD 21740-5768
Phone
(301) 766-0065
NPI assigned
Nov 25, 2014
Last updated
Jul 9, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Deanna Bailey, NCAC II, SAP, CAC-ADNPI 1598136079
Title
Program Director/Owner
Phone
(301) 766-0065

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 106494 MD Primary

Addresses

Primary practice location

324 E Antietam St Ste 308
Hagerstown, MD 21740-5768

Mailing address

324 E Antietam St Ste 308
Hagerstown, MD 21740-5768
Phone (301) 766-0065

Other identifiers 1

IdentifierTypeStateIssuer
324505500MedicaidMD

National Provider Directory

National Provider Directory
Tax ID family
Alternative Drug and Alcohol Counseling3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

370 Virginia Ave
Hagerstown, MD 21740
Phone (301) 733-3130

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1416873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720483200000",
    "number": "1003213695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 E ANTIETAM ST STE 308",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217405768",
            "telephone_number": "301-766-0065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 E ANTIETAM ST STE 308",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217405768",
            "telephone_number": "301-766-0065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTERNATIVE DRUG & ALCOHOL COUNSELING (ADAC)",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-25",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "DEANNA",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR/OWNER",
        "authorized_official_telephone_number": "301-766-0065",
        "authorized_official_credential": "NCAC II, SAP, CAC-AD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MD",
            "license": "106494",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "324505500",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.