Individual provider Active NPI

David Cibulka, BS,MS,CAADC,CDBT

  • Addiction (Substance Use Disorder) Counselor
  • Hanover, PA
National Provider Identifier
1306734942
Registry record updated Feb 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
19843 Issued in PA
Practice address
55 Wetzel Dr Ste 3
Hanover, PA 17331-1131
Phone
(717) 380-8466
NPI assigned
Jun 24, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 19843 PA Primary

Addresses

Primary practice location

55 Wetzel Dr Ste 3
Hanover, PA 17331-1131

Mailing address

2778 Pleasant Hill Rd
Hanover, PA 17331-8443
Phone (717) 380-8466

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor of Science, Master of Science

State licenses

LicenseStateTypeSpecialty
19843PAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Time to Recover LLC Current Accepting new patients

Locations

55 Wetzel Dr
Ste 3
Hanover, PA 17331
Phone (717) 220-3336

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1750723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772150400000",
    "number": "1306734942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2778 PLEASANT HILL RD",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173318443",
            "telephone_number": "717-380-8466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 WETZEL DR STE 3",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173311131",
            "telephone_number": "717-380-8466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIBULKA",
        "first_name": "DAVID",
        "credential": "BS,MS,CAADC,CDBT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-24",
        "last_updated": "2026-02-27",
        "certification_date": "2026-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "PA",
            "license": "19843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanover, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2026; 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.