NPIMap

Organization Active NPI

October Road, Inc.

  • Methadone Clinic
  • Asheville, NC
National Provider Identifier
1154954097
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Methadone ClinicTaxonomy code 261QM2800X
Legal business name
OCTOBER ROAD, INC.
Practice address
119 Tunnel Rd Ste E
Asheville, NC 28805-1800
Phone
(828) 350-1000
Fax
(828) 350-1300
NPI assigned
Feb 19, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2025

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

Authorized official

Name
Jason Hendricks
Title
Chief Executive Officer
Phone
(814) 940-0407

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Methadone Clinic 261QM2800X Primary

Addresses

Primary practice location

119 Tunnel Rd Ste E
Asheville, NC 28805-1800

Mailing address

119 Tunnel Rd Ste B
Asheville, NC 28805-1800
Phone (828) 350-1000

Other names 1

  • October Road Treatment Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Opioid treatment program
Medicare-enrolled since Aug 3, 2021

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211011001414 NC Part B Supplier - Opioid Treatment Program (Otp) 3577611433 Practice locations: Asheville, NC

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
October Road Inc12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

119 Tunnel Rd
Ste E
Asheville, NC 28805
Phone (828) 329-5508

Practitioners & affiliated clinicians

Practitioners 4

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": "1582070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762300800000",
    "number": "1154954097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 TUNNEL RD STE B",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288051800",
            "telephone_number": "828-350-1000",
            "fax_number": "828-350-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 TUNNEL RD STE E",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288051800",
            "telephone_number": "828-350-1000",
            "fax_number": "828-350-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCTOBER ROAD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-19",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A",
        "authorized_official_last_name": "HENDRICKS",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "814-940-0407"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "October Road Treatment Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "October Road Treatment Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Asheville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.