NPIMap

Organization Active NPI

Pike County Recovery Council Inc

  • Public Health or Welfare Agency
  • Waverly, OH
National Provider Identifier
1275589178
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
License
527733 Issued in OH
Legal business name
PIKE COUNTY RECOVERY COUNCIL INC
Practice address
14572 US Highway 23
Waverly, OH 45690-9373
Phone
(740) 947-6727
Fax
(740) 947-6917
NPI assigned
May 25, 2006
Last updated
Jul 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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

Authorized official

Name
Veronica Michelle Black, CDCANPI 1326565144
Title
Deputy Director
Phone
(740) 947-6727

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X 527733 OH Primary

Addresses

Primary practice location

14572 US Highway 23
Waverly, OH 45690-9373

Mailing address

P.O. Box 226
Waverly, OH 45690-0226
Phone (740) 947-6727

Other identifiers 1

IdentifierTypeStateIssuer
527733OtherOHSTATE LICENSE NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180411001744 OH Part B Supplier - Clinic/Group Practice 0941563670 Receives reassigned benefits from 7 practitioners
1 other NPI on this enrollment
Practice locations: Waverly, OH; Piketon, OH; Chillicothe, OH

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory

Locations

14572 US Highway 23
Waverly, OH 45690
Phone (740) 835-8485

196 E Emmitt Ave
Waverly, OH 45690
Phone (740) 912-9499

217 E Emmitt Ave
Waverly, OH 45690
Phone (740) 835-6452

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/PikeCounty/r4/

Practitioners & affiliated clinicians

Practitioners 37

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 37

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722297600000",
    "number": "1275589178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 226",
            "city": "WAVERLY",
            "state": "OH",
            "postal_code": "456900226",
            "telephone_number": "740-947-6727",
            "fax_number": "740-947-6917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14572 US HIGHWAY 23",
            "city": "WAVERLY",
            "state": "OH",
            "postal_code": "456909373",
            "telephone_number": "740-947-6727",
            "fax_number": "740-947-6917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIKE COUNTY RECOVERY COUNCIL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "DEPUTY DIRECTOR",
        "authorized_official_telephone_number": "740-947-6727",
        "authorized_official_credential": "CDCA"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "OH",
            "license": "527733",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "527733",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waverly, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; 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.