NPIMap

Organization Active NPI

Evansville Treatment Center, LLC

  • Methadone Clinic
  • Evansville, IN
National Provider Identifier
1194878587
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Methadone ClinicTaxonomy code 261QM2800X
License
1361-0-ASR Issued in IN
Legal business name
EVANSVILLE TREATMENT CENTER, LLC
Practice address
1510 W Franklin St
Evansville, IN 47710-1032
Phone
(812) 424-0223
Fax
(812) 424-0226
NPI assigned
Jan 19, 2007
Last updated
Apr 7, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
ACADIA HEALTHCAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 7, 2026

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

Authorized official

Name
Brian Phillip Farley
Title
VP & Secretary
Phone
(615) 861-6000

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 1361-0-ASR IN
Methadone Clinic 261QM2800X RE0201943 IN
Methadone Clinic 261QM2800X 1361-0-ASR IN Primary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X

Addresses

Primary practice location

1510 W Franklin St
Evansville, IN 47710-1032

Mailing address

PO Box 682669
Franklin, TN 37068-2669
Phone (760) 710-0819

Other identifiers 2

IdentifierTypeStateIssuer
3000009982MedicaidIN
201359750AMedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Opioid treatment program
Medicare-enrolled since Jan 1, 2020

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191223001689 IN Part B Supplier - Opioid Treatment Program (Otp) 0648604793 Practice locations: Evansville, IN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D1045765Evansville Comprehensive Treatment Center1510 W Franklin Street, Evansville, IN 47710Certificate of waiverSep 21, 2027

National Provider Directory

National Provider Directory
Part of
Acadia Healthcare

Locations

1510 W Franklin St
Evansville, IN 47710
Phone (812) 424-0223

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 23

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.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775520000000",
    "number": "1194878587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 682669",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370682669",
            "telephone_number": "760-710-0819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 W FRANKLIN ST",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477101032",
            "telephone_number": "812-424-0223",
            "fax_number": "812-424-0226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVANSVILLE TREATMENT CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ACADIA HEALTHCARE",
        "enumeration_date": "2007-01-19",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A",
        "authorized_official_last_name": "FARLEY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "PHILLIP",
        "authorized_official_title_or_position": "VP & SECRETARY",
        "authorized_official_telephone_number": "615-861-6000"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IN",
            "license": "1361-0-ASR",
            "primary": false
        },
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "IN",
            "license": "RE0201943",
            "primary": false
        },
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "IN",
            "license": "1361-0-ASR",
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3000009982",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201359750A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.