Northern Panhandle Community Criminal Justice Board

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

NORTHERN PANHANDLE COMMUNITY CRIMINAL JUSTICE BOARD

Doing business as

Lee Day Report Center

Practice address

3828 Main St
Weirton, WV 26062-5312

Phone

(304) 748-8043

Fax

(304) 748-4175

NPI assigned

Oct 13, 2016

Last updated

Apr 10, 2023By 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

Mr. Fred P McDonald

Title

Executive Director

Phone

(304) 234-6445

Specialties & licenses 1

Addresses

Other names 1

• Lee Day Report Center Doing business as

Locations

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

{
    "created_epoch": "1476316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681084800000",
    "number": "1558811679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3828 MAIN ST",
            "city": "WEIRTON",
            "state": "WV",
            "postal_code": "260625312",
            "telephone_number": "304-748-8043",
            "fax_number": "304-748-4175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3828 MAIN ST",
            "city": "WEIRTON",
            "state": "WV",
            "postal_code": "260625312",
            "telephone_number": "304-748-8043",
            "fax_number": "304-748-4175"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "123 16th St",
            "address_purpose": "LOCATION",
            "city": "Wheeling",
            "state": "WV",
            "postal_code": "260033655",
            "country_code": "US",
            "telephone_number": "304-905-0105",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "145 Paducah Dr",
            "address_purpose": "LOCATION",
            "city": "New Martinsville",
            "state": "WV",
            "postal_code": "261552709",
            "country_code": "US",
            "telephone_number": "304-398-4920",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "324 7th St",
            "address_purpose": "LOCATION",
            "city": "Moundsville",
            "state": "WV",
            "postal_code": "260412125",
            "country_code": "US",
            "telephone_number": "304-845-6951",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NORTHERN PANHANDLE COMMUNITY CRIMINAL JUSTICE BOARD",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-13",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-10",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "FRED",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "304-234-6445",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lee Day Report Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lee Day Report Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Addiction (Substance Use Disorder) Counselor in Weirton, WV
• Providers in Weirton, WV by specialty
• Addiction (Substance Use Disorder) Counselor in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2023; 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.