NPIMap

Organization Active NPI

Lewis County Community Services Board

Doing business as Lewis County Community Recovery Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Lowville, NY
National Provider Identifier
1386741551
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
LEWIS COUNTY COMMUNITY SERVICES BOARD
Doing business as
Lewis County Community Recovery Center
Practice address
7714 Number Three Rd
Lowville, NY 13367-3521
Phone
(315) 376-5958
Fax
(315) 376-5953
NPI assigned
Sep 20, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. James L Dyer, LMSWNPI 1043319593
Title
Clinic Director
Phone
(315) 376-5958

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
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X NY Primary

Addresses

Primary practice location

7714 Number Three Rd
Lowville, NY 13367-3521

Mailing address

7714 Number Three Rd
Lowville, NY 13367-3521
Phone (315) 376-5958

Other identifiers 2

IdentifierTypeStateIssuer
000458OtherNYEXCELLUS
00657649MedicaidNY

Other names 1

  • Lewis County Community Recovery Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lewis Cnty Comm MNTL HL19 organizations share this tax ID, including this one

Other organizations with this tax ID 18

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

View all 18

Locations

7714 Number Three Rd
Lowville, NY 13367
Phone (315) 376-5958

Practitioners & affiliated clinicians

Practitioners 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386741551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7714 NUMBER THREE RD",
            "city": "LOWVILLE",
            "state": "NY",
            "postal_code": "133673521",
            "telephone_number": "315-376-5958",
            "fax_number": "315-376-5953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7714 NUMBER THREE RD",
            "city": "LOWVILLE",
            "state": "NY",
            "postal_code": "133673521",
            "telephone_number": "315-376-5958",
            "fax_number": "315-376-5953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEWIS COUNTY COMMUNITY SERVICES BOARD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DYER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "315-376-5958",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EXCELLUS",
            "identifier": "000458",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00657649",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lewis County Community Recovery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lowville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.