NPIMap

Organization Active NPI

Coshocton County Drug & Alcohol Council, Inc

  • Community/Behavioral Health Agency
  • Coshocton, OH
National Provider Identifier
1114987138
Registry record updated Jun 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
COSHOCTON COUNTY DRUG & ALCOHOL COUNCIL, INC
Practice address
610 Walnut St
Coshocton, OH 43812-1655
Phone
(740) 622-0033
Fax
(740) 622-0210
NPI assigned
Mar 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2025

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

Authorized official

Name
Jeanette Sue Hall, LPCC-S, LICDC-CSNPI 1386099653
Title
Co-Executive Director
Phone
(740) 622-0033

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 1

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

Addresses

Primary practice location

610 Walnut St
Coshocton, OH 43812-1655

Mailing address

610 Walnut St
Coshocton, OH 43812-1655
Phone (740) 622-0033

Other names 1

  • Coshocton Behavioral Health Choices Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240802002518 OH Part B Supplier - Clinic/Group Practice 3577000983 Receives reassigned benefits from 8 practitioners
1 other NPI on this enrollment
Practice locations: Coshocton, OH

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Coshocton Behavioral Health3 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

610 Walnut St
Coshocton, OH 43812
Phone (740) 622-0033

140 S 6th St
Coshocton, OH 43812

Practitioners & affiliated clinicians

Practitioners 12

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": "1143158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750377600000",
    "number": "1114987138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 WALNUT ST",
            "city": "COSHOCTON",
            "state": "OH",
            "postal_code": "438121655",
            "telephone_number": "740-622-0033",
            "fax_number": "740-622-0210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 WALNUT ST",
            "city": "COSHOCTON",
            "state": "OH",
            "postal_code": "438121655",
            "telephone_number": "740-622-0033",
            "fax_number": "740-622-0210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COSHOCTON COUNTY DRUG & ALCOHOL COUNCIL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-24",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-20",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "JEANETTE",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "CO-EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "740-622-0033",
        "authorized_official_credential": "LPCC-S, LICDC-CS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coshocton Behavioral Health Choices",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Coshocton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.