Active NPI
Allen Hines, MA, LCAC
- Addiction (Substance Use Disorder) Counselor
- Valparaiso, IN
National Provider Identifier
1346696440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 87001489A
- Practice address
- 954 Eastport Centre Dr Ste B
Valparaiso, IN 46383-4456 - Phone
- (219) 286-6482
- NPI assigned
- May 6, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 87001489A | IN | Primary |
Addresses
Primary practice location
954 Eastport Centre Dr Ste B
Valparaiso, IN 46383-4456
Mailing address
328 S 17TH St
Chesterton, IN 46304-2038
Phone (219) 256-3546
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
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 87001489A | IN | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462492800000",
"number": "1346696440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "328 S 17TH ST",
"city": "CHESTERTON",
"state": "IN",
"postal_code": "463042038",
"telephone_number": "219-256-3546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "954 EASTPORT CENTRE DR STE B",
"city": "VALPARAISO",
"state": "IN",
"postal_code": "463834456",
"telephone_number": "219-286-6482"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HINES",
"first_name": "ALLEN",
"credential": "MA, LCAC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-05-06",
"last_updated": "2016-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "IN",
"license": "87001489A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Valparaiso, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.