Organization Active NPI

Alcohol & Addictions Resource Center

  • Community/Behavioral Health Agency
  • South Bend, IN
National Provider Identifier
1396956124
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ALCOHOL & ADDICTIONS RESOURCE CENTER
Practice address
818 E Jefferson Blvd
South Bend, IN 46617-2905
Phone
(574) 234-6024
Fax
(574) 234-6025
NPI assigned
May 24, 2007
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
Ms. Sharon Marie Burden, SAP, CEAPNPI 1679783187
Title
Executive Director
Phone
(574) 234-6024

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
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

818 E Jefferson Blvd
South Bend, IN 46617-2905

Mailing address

818 E Jefferson Blvd
South Bend, IN 46617-2905
Phone (574) 234-6024

Other names 1

  • Michiana Employee Assistance Program Other name

National Provider Directory

National Provider Directory

Locations

818 E Jefferson Blvd
South Bend, IN 46617
Phone (574) 234-6024

Practitioners & affiliated clinicians

Practitioners 3

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": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396956124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 E JEFFERSON BLVD",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466172905",
            "telephone_number": "574-234-6024",
            "fax_number": "574-234-6025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 E JEFFERSON BLVD",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466172905",
            "telephone_number": "574-234-6024",
            "fax_number": "574-234-6025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALCOHOL & ADDICTIONS RESOURCE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BURDEN",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "574-234-6024",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "SAP, CEAP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michiana Employee Assistance Program",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in South Bend, IN

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.