Organization Active NPI

Union County Commission on Alcohol and Drug Abuse

  • Addiction (Substance Use Disorder) Counselor
  • Union, SC
National Provider Identifier
1265433619
Registry record updated Aug 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
OTP-045 Issued in SC
Legal business name
UNION COUNTY COMMISSION ON ALCOHOL AND DRUG ABUSE
Practice address
201 S Herndon St
Union, SC 29379-2231
Phone
(864) 429-1656
Fax
(864) 429-1667
NPI assigned
Aug 9, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2009

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

Authorized official

Name
Mrs. Jacqueline P Dawkins, NCAC II, CAC II
Title
Executive Director
Phone
(864) 429-1656

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X OTP-045 SC Primary

Addresses

Primary practice location

201 S Herndon St
Union, SC 29379-2231

Mailing address

PO Box 844
Union, SC 29379-0844
Phone (864) 429-1656

Other identifiers 1

IdentifierTypeStateIssuer
AD38UNMedicaidSC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1123545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250553600000",
    "number": "1265433619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844",
            "city": "UNION",
            "state": "SC",
            "postal_code": "293790844",
            "telephone_number": "864-429-1656",
            "fax_number": "864-429-1667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S HERNDON ST",
            "city": "UNION",
            "state": "SC",
            "postal_code": "293792231",
            "telephone_number": "864-429-1656",
            "fax_number": "864-429-1667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNION COUNTY COMMISSION ON ALCOHOL AND DRUG ABUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-09",
        "last_updated": "2009-08-18",
        "status": "A",
        "authorized_official_last_name": "DAWKINS",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "864-429-1656",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NCAC II, CAC II"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "SC",
            "license": "OTP-045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AD38UN",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Union, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.