NPIMap

Organization Active NPI

CRC Health Treatment Clinics, LLC

Doing business as Shelbyville Comprehensive Treatment Center

  • Methadone Clinic
  • Shelbyville, KY
National Provider Identifier
1235675125
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Methadone ClinicTaxonomy code 261QM2800X
Legal business name
CRC HEALTH TREATMENT CLINICS, LLC
Doing business as
Shelbyville Comprehensive Treatment Center
Practice address
213 Midland Blvd.
Shelbyville, KY 40065-7791
Phone
(502) 647-0154
Fax
(502) 633-4043
NPI assigned
Jan 16, 2017
Organization subpart
Yes
Parent organization
ACADIA HEALTHCARE COMPANY, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 29, 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
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X
Methadone Clinic 261QM2800X
Methadone Clinic 261QM2800X KY Primary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X KY

Addresses

Primary practice location

213 Midland Blvd.
Shelbyville, KY 40065-7791

Mailing address

PO Box 682669
Franklin, TN 37068-2669
Phone (760) 710-2347

Other names 1

  • Shelbyville Comprehensive Treatment Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service Other eSolutions Inc.

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200218001339 KY Part B Supplier - Opioid Treatment Program (Otp) 4082048061 Practice locations: Shelbyville, KY

Other NPIs with the same Medicare PAC ID 1

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

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
18D2136550Shelbyville Comprehensive Treatment Center213 Midland Blvd, Shelbyville, KY 40065Certificate of waiverSep 11, 2027

National Provider Directory

National Provider Directory
Tax ID family
CRC Health TRMT Clinics LLC6 organizations share this tax ID, including this one
Part of
Haven Behavioral Healthcare

Other organizations with this tax ID 5

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

Locations

651 W Warren Ave
Ste 100
Longwood, FL 32750
Phone (321) 999-6405

4553 Watkins St
Pace, FL 32571
Phone (850) 800-2772

45 Cavalier Blvd
Florence, KY 41042
Phone (859) 371-7400

1436 S Shelby St
Louisville, KY 40217
Phone (502) 635-4530

Practitioners & affiliated clinicians

Practitioners 10

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": "1484524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782691200000",
    "number": "1235675125",
    "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": "760-710-2347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 MIDLAND BLVD.",
            "city": "SHELBYVILLE",
            "state": "KY",
            "postal_code": "400657791",
            "telephone_number": "502-647-0154",
            "fax_number": "502-633-4043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRC HEALTH TREATMENT CLINICS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ACADIA HEALTHCARE COMPANY, INC.",
        "enumeration_date": "2017-01-16",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "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": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "KY",
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "KY",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1066.1",
            "affiliationName": "eSolutions Inc.",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8215 W 108th Ter",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Shelbyville Comprehensive Treatment Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Shelbyville Comprehensive Treatment Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shelbyville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.