NPIMap

Organization Active NPI

Jackson Area Council on Alcoholism and Drug Dependency

  • Substance Abuse Rehabilitation Facility
  • Jackson, TN
National Provider Identifier
1083766323
Registry record updated Jul 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
0000000044 Issued in TN
Legal business name
JACKSON AREA COUNCIL ON ALCOHOLISM AND DRUG DEPENDENCY
Practice address
900 E Chester St
Jackson, TN 38301-6502
Phone
(731) 423-3653
Fax
(731) 422-2820
NPI assigned
Jan 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2008

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

Authorized official

Name
Mr. Joe Pickens
Title
Director
Phone
(731) 423-3653

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 0000000044 TN Primary

Addresses

Primary practice location

900 E Chester St
Jackson, TN 38301-6502

Mailing address

900 E Chester St
Jackson, TN 38301-6502
Phone (731) 423-3653

Other names 1

  • JACOA Other name

National Provider Directory

National Provider Directory

Locations

900 E Chester St
Jackson, TN 38301
Phone (731) 423-3653

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217376000000",
    "number": "1083766323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 E CHESTER ST",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383016502",
            "telephone_number": "731-423-3653",
            "fax_number": "731-422-2820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 E CHESTER ST",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383016502",
            "telephone_number": "731-423-3653",
            "fax_number": "731-422-2820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON AREA COUNCIL ON ALCOHOLISM AND DRUG DEPENDENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2008-07-30",
        "status": "A",
        "authorized_official_last_name": "PICKENS",
        "authorized_official_first_name": "JOE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "731-423-3653",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "TN",
            "license": "0000000044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JACOA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Jackson, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2008; 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.