Individual provider Active NPI

Allzia Joseph Pollock, CDCA.177271

  • Addiction (Substance Use Disorder) Counselor
  • Coal Grove, OH
National Provider Identifier
1093472128
Registry record updated Dec 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Practice address
323 Marion Pike Ste 1
Coal Grove, OH 45638-2958
Phone
(740) 237-4981
Fax
(877) 325-2816
NPI assigned
Nov 23, 2021
Last updated
Dec 29, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X QMHS
Case Manager/Care Coordinator 171M00000X
Peer Specialist 175T00000X APS.004725 OH
Addiction (Substance Use Disorder) Counselor 101YA0400X Primary

Addresses

Primary practice location

323 Marion Pike Ste 1
Coal Grove, OH 45638-2958

Mailing address

117 N 4TH St
Ironton, OH 45638-1403
Phone (740) 237-4981

Other practice location 1

117 N 4th St
Ironton, OH 45638-1403
Phone (740) 237-4981

Other identifiers 1

IdentifierTypeStateIssuer
0471159MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
APS.004725OHMDPeer Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
United Family Recovery, LLC Mental Health CurrentSince Oct 8, 2023 Accepting new patients
United Family Recovery, LLC Addiction (Substance Use Disorder) CurrentSince Oct 8, 2023 Accepting new patients
Jay Hash LLC PastSince Nov 1, 2021 Accepting new patients
Jay Hash LLC Addiction (Substance Use Disorder) PastSince Dec 3, 2023 Accepting new patients

Locations

117 N 4th St
Ironton, OH 45638
Phone (740) 237-4981

323 Marion Pike
Ste 1
Ironton, OH 45638
Phone (740) 237-4981

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1637625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703808000000",
    "number": "1093472128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 N 4TH ST",
            "city": "IRONTON",
            "state": "OH",
            "postal_code": "456381403",
            "telephone_number": "740-237-4981",
            "fax_number": "877-325-2816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 MARION PIKE STE 1",
            "city": "COAL GROVE",
            "state": "OH",
            "postal_code": "456382958",
            "telephone_number": "740-237-4981",
            "fax_number": "877-325-2816"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "117 N 4th St",
            "address_purpose": "LOCATION",
            "city": "Ironton",
            "state": "OH",
            "postal_code": "456381403",
            "country_code": "US",
            "telephone_number": "740-237-4981",
            "fax_number": "877-325-2816",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POLLOCK",
        "first_name": "ALLZIA",
        "middle_name": "JOSEPH",
        "credential": "CDCA.177271",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-23",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": "QMHS",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OH",
            "license": "APS.004725",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0471159",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coal Grove, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.