Ashland Addiction Counseling and Education

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

License

547031 Issued in PA

Legal business name

ASHLAND ADDICTION COUNSELING AND EDUCATION

Doing business as

ashland addiction counseling and education

Practice address

930 Centre St
Ashland, PA 17921-1244

Phone

(570) 985-1149

NPI assigned

Jun 19, 2015

Last updated

Sep 2, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jesse Roman, LSWNPI 1013290295

Title

Program Director

Phone

(570) 205-2066

Specialties & licenses 1

Addresses

Other names 1

• ashland addiction counseling and education Doing business as

Locations

Practitioners 1

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.

• Jesse Roman, LSW

  • Clinical Social Worker
  • Ashland, PA
  • NPI 1013290295
  NPD (past) Authorized official

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

{
    "created_epoch": "1434672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441152000000",
    "number": "1427430073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 CENTRE ST",
            "city": "ASHLAND",
            "state": "PA",
            "postal_code": "179211244",
            "telephone_number": "570-205-2066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 CENTRE ST",
            "city": "ASHLAND",
            "state": "PA",
            "postal_code": "179211244",
            "telephone_number": "570-985-1149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASHLAND ADDICTION COUNSELING AND EDUCATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-19",
        "last_updated": "2015-09-02",
        "status": "A",
        "authorized_official_last_name": "ROMAN",
        "authorized_official_first_name": "JESSE",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "570-205-2066",
        "authorized_official_credential": "LSW"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "PA",
            "license": "547031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ashland addiction counseling and education",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maram Mohamed Abdulaal
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• Anwar Nakkoul MD, PC
• Ann M Batdorf, CRNP
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• Carol Bebenek, LPC; RN,C
• Danielle Marie Bixler, DPT
• Brianna Boyer

• Substance Use Disorder Rehabilitation Clinic/Center in Ashland, PA
• Providers in Ashland, PA by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2015; 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.