Active NPI
Union County Commission on Alcohol and Drug Abuse
- Addiction (Substance Use Disorder) Counselor
- Union, SC
National Provider Identifier
1265433619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- OTP-045
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AD38UN | Medicaid | SC |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Addiction (Substance Use Disorder) Counselor
- Union, SC
- NPI 1083954242
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.