NPIMap

Organization Active NPI

Five County Alcohol/Drup Program in

  • Non-Pharmacy Dispensing Site
  • Alvordton, OH
National Provider Identifier
1093772386
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
License
0559 Issued in OH
Legal business name
FIVE COUNTY ALCOHOL/DRUP PROGRAM IN
Practice address
109 W Main St
Alvordton, OH 43501-9763
Phone
(419) 924-2029
Fax
(419) 924-2061
NPI assigned
Apr 28, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Kenneth Bond IV, LICDC
Title
Executive Director
Phone
(419) 782-9920

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 0559 OH
Adult Mental Health Clinic/Center 261QM0850X 0559 OH
Non-Pharmacy Dispensing Site 332900000X 0559 OH Primary

Addresses

Primary practice location

109 W Main St
Alvordton, OH 43501-9763

Mailing address

830 S Clinton St
Defiance, OH 43512-2758
Phone (419) 782-9920

Other identifiers 1

IdentifierTypeStateIssuer
10998OtherOHMACSIS UPI

National Provider Directory

National Provider Directory
Tax ID family
Five County Alcoholdrug Program Serenity Haven4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

109 W Main St
Alvordton, OH 43501
Phone (419) 924-2029

Practitioners & affiliated clinicians

Practitioners 7

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": "1146182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1093772386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 S CLINTON ST",
            "city": "DEFIANCE",
            "state": "OH",
            "postal_code": "435122758",
            "telephone_number": "419-782-9920",
            "fax_number": "419-784-2523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 W MAIN ST",
            "city": "ALVORDTON",
            "state": "OH",
            "postal_code": "435019763",
            "telephone_number": "419-924-2029",
            "fax_number": "419-924-2061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIVE COUNTY ALCOHOL/DRUP PROGRAM IN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-28",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "BOND",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "419-782-9920",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "LICDC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "OH",
            "license": "0559",
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "OH",
            "license": "0559",
            "primary": false
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "OH",
            "license": "0559",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MACSIS UPI",
            "identifier": "10998",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alvordton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.