NPIMap

Organization Active NPI

Burke Council on Alcoholism and Chemical Dependency, Inc

  • Addiction (Substance Use Disorder) Counselor
  • Lenoir, NC
National Provider Identifier
1316397847
Registry record updated Jun 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
MHL-012-038 Issued in NC
Legal business name
BURKE COUNCIL ON ALCOHOLISM AND CHEMICAL DEPENDENCY, INC
Doing business as
Burke Recovery
Practice address
1013 West Ave NW
Lenoir, NC 28645-5126
Phone
(828) 433-1221
Fax
(828) 433-1287
NPI assigned
Jun 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2016

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

Authorized official

Name
Mr. Joe Marks
Title
Executive Director
Phone
(828) 433-1221

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X MHL-012-038 NC Primary

Addresses

Primary practice location

1013 West Ave NW
Lenoir, NC 28645-5126

Mailing address

203 White St
Morganton, NC 28655-3417
Phone (828) 433-1221

Other identifiers 1

IdentifierTypeStateIssuer
6006610MedicaidNC

Other names 1

  • Burke Recovery Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Burke Council on Alcoholism Chemical Dependency Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

1013 West Ave NW
Lenoir, NC 28645
Phone (828) 433-1221

NPI Registry JSON

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

{
    "created_epoch": "1465948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465948800000",
    "number": "1316397847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 WHITE ST",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286553417",
            "telephone_number": "828-433-1221",
            "fax_number": "828-433-1287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 WEST AVE NW",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "286455126",
            "telephone_number": "828-433-1221",
            "fax_number": "828-433-1287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURKE COUNCIL ON ALCOHOLISM AND CHEMICAL DEPENDENCY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-15",
        "last_updated": "2016-06-15",
        "status": "A",
        "authorized_official_last_name": "MARKS",
        "authorized_official_first_name": "JOE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "828-433-1221",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "MHL-012-038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6006610",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Burke Recovery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lenoir, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2016; 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.