NPIMap

Organization Active NPI

Alliant Treatment Center

  • Addiction (Substance Use Disorder) Counselor
  • Shaker Heights, OH
National Provider Identifier
1164918413
Registry record updated Jan 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
01-7627 Issued in OH
Legal business name
ALLIANT TREATMENT CENTER
Practice address
3535 Lee Rd
Shaker Heights, OH 44120-5122
Phone
(216) 417-6166
NPI assigned
Jul 10, 2018
Last updated
Jan 4, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2021

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

Authorized official

Name
Ada NworieNPI 1760901524
Title
Coo
Phone
(216) 417-6166

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 01-7627 OH Primary
Clinic/Center 261Q00000X NU
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

3535 Lee Rd
Shaker Heights, OH 44120-5122

Mailing address

3535 Lee Rd
Shaker Heights, OH 44120-5122
Phone (216) 417-6166

Other practice location 1

445 S Main St
Akron, OH 44311-1056
Phone (234) 238-0151

Other practice location 2

11801 Clifton Blvd
Lakewood, OH 44107-2058
Phone (216) 801-4625

Other identifiers 2

IdentifierTypeStateIssuer
1134649676MedicaidOH
1760978035MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171128003674 OH Part B Supplier - Clinic/Group Practice 9133486285 Receives reassigned benefits from 6 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Cleveland, OH; Shaker Heights, OH

Other NPIs on the same Medicare enrollment 2

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

National Provider Directory

National Provider Directory
Tax ID family
Alliant Treatment Center4 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

445 S Main St
Akron, OH 44311
Phone (234) 238-0151

11801 Clifton Blvd
Lakewood, OH 44107
Phone (216) 228-0170

Practitioners & affiliated clinicians

Practitioners 10

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": "1531180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609718400000",
    "number": "1164918413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 LEE RD",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441205122",
            "telephone_number": "216-417-6166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 LEE RD",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441205122",
            "telephone_number": "216-417-6166"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "445 S Main St",
            "address_purpose": "LOCATION",
            "city": "Akron",
            "state": "OH",
            "postal_code": "443111056",
            "country_code": "US",
            "telephone_number": "234-238-0151",
            "fax_number": "234-238-0155",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11801 Clifton Blvd",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "OH",
            "postal_code": "441072058",
            "country_code": "US",
            "telephone_number": "216-801-4625",
            "fax_number": "216-712-6958",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ALLIANT TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-10",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A",
        "authorized_official_last_name": "NWORIE",
        "authorized_official_first_name": "ADA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "216-417-6166"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "01-7627",
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1134649676",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1760978035",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shaker Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2021; 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.