Carbon - Monroe - Pike Drug & Alcohol Commission, Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

131044 Issued in PA

Legal business name

CARBON - MONROE - PIKE DRUG & ALCOHOL COMMISSION, INC

Practice address

430 S. 7TH St
Lehighton, PA 18235-1824

Phone

(610) 377-5177

Fax

(610) 377-5099

NPI assigned

Jan 25, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Jamie Lynn Drake, BS CADC

Title

Executive Director

Phone

(570) 421-1960

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736121600000",
    "number": "1619947348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 PHILLIPS STREET",
            "address_2": "SUITE 203",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183602242",
            "telephone_number": "570-421-1960",
            "fax_number": "570-421-3548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 S. 7TH ST",
            "city": "LEHIGHTON",
            "state": "PA",
            "postal_code": "182351824",
            "telephone_number": "610-377-5177",
            "fax_number": "610-377-5099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Wheatfield Dr Ste 2",
            "address_purpose": "LOCATION",
            "city": "Milford",
            "state": "PA",
            "postal_code": "183377837",
            "country_code": "US",
            "telephone_number": "570-296-1054",
            "fax_number": "570-296-9227",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CARBON - MONROE - PIKE DRUG & ALCOHOL COMMISSION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-25",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A",
        "authorized_official_last_name": "DRAKE",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "570-421-1960",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BS CADC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "PA",
            "license": "131044",
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "PA",
            "license": "451044",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100773607",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elena Brinker, CRNP
• Broad Mountain Emergency Physicians, PLLC
• Jean Marie Bujdos, DO
• Marie Burrell, CRNP
• Jeffrey Edware Burtaine, M.D.
• Carbon County Oncology PLLC
• Carbon Foot and Ankle Centers PC
• Carbon Lehigh Intermediate #21
• Carbon Lehigh Intermediate Unit #21
• Carbon Lehigh Intermediate Unit #21

• Clinic/Center in Lehighton, PA
• Providers in Lehighton, PA by specialty
• Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; 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.