NPIMap

Organization Active NPI

Addiction & Behavioral Health Center, in.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Ada, OK
National Provider Identifier
1013032424
Registry record updated Dec 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
ADDICTION & BEHAVIORAL HEALTH CENTER, IN.
Practice address
230 E. 12TH St.
Ada, OK 74820-6508
Phone
(580) 332-3001
Fax
(580) 332-3652
NPI assigned
Mar 21, 2007
Last updated
Dec 20, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2023

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

Authorized official

Name
Mrs. Vicki Diana Orsburn, CADC, BANPI 1043335474
Title
Executive Director
Phone
(580) 332-3001

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X

Addresses

Primary practice location

230 E. 12TH St.
Ada, OK 74820-6508

Mailing address

230 E. 12TH St.
Ada, OK 74820
Phone (580) 332-3001

Other identifiers 1

IdentifierTypeStateIssuer
100732530AMedicaidOK

Other names 1

  • Ada Area Chemical Dependency Center, Inc. Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Aacdc3 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

230 E 12th St
Ada, OK 74820
Phone (580) 332-3001

704 N Oak Ave
Rm 2021
Ada, OK 74820
Phone (580) 332-3001

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703030400000",
    "number": "1013032424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 E. 12TH ST.",
            "city": "ADA",
            "state": "OK",
            "postal_code": "74820",
            "telephone_number": "580-332-3001",
            "fax_number": "580-332-8774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 E. 12TH ST.",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748206508",
            "telephone_number": "580-332-3001",
            "fax_number": "580-332-3652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADDICTION & BEHAVIORAL HEALTH CENTER, IN.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2023-12-20",
        "status": "A",
        "authorized_official_last_name": "ORSBURN",
        "authorized_official_first_name": "VICKI",
        "authorized_official_middle_name": "DIANA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "580-332-3001",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CADC, BA"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100732530A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ada Area Chemical Dependency Center, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Ada, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; 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.