Clinic 5 Addiction Recovery

Primary specialty

Addiction Medicine (Preventive Medicine) PhysicianTaxonomy code 2083A0300X

Legal business name

CLINIC 5 ADDICTION RECOVERY

Practice address

1 Independent Dr
Rainbow City, AL 35906-3249

Phone

(256) 952-2709

Fax

(256) 952-2769

NPI assigned

Jun 10, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Jennifer Thrasher, OWNER

Title

Ceo

Phone

(256) 312-2101

Specialties & licenses 4

Addresses

Other names 1

• Clinic 5 Addiction Recovery 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.

• Milicent Watson

  • Psychiatric/Mental Health Nurse Practitioner
  • Rainbow City, AL
  • NPI 1396608758
  NPD

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

{
    "created_epoch": "1654819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654819200000",
    "number": "1639808934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 INDEPENDENT DR",
            "city": "RAINBOW CITY",
            "state": "AL",
            "postal_code": "359063249",
            "telephone_number": "256-312-2101",
            "fax_number": "256-952-2769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 INDEPENDENT DR",
            "city": "RAINBOW CITY",
            "state": "AL",
            "postal_code": "359063249",
            "telephone_number": "256-952-2709",
            "fax_number": "256-952-2769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINIC 5 ADDICTION RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-10",
        "last_updated": "2022-06-10",
        "certification_date": "2022-06-10",
        "status": "A",
        "authorized_official_last_name": "THRASHER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "256-312-2101",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "2083A0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Recovery Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clinic 5 Addiction Recovery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Clark Mental Health
• Colton Clark, DPT, PT
• Lynn Bayne Clark, LPC
• Olivia Clifton
• Madeline Grace Cline, MS. CCC SLP
• Kearse Ellison Clokey, DPT
• Barbara Carol Coker, P.T.
• Dalton Chase Colbert, PT, DPT
• Complex Solutions LLC
• Complex Solutions LLC

• Addiction Medicine (Preventive Medicine) Physician in Rainbow City, AL
• Providers in Rainbow City, AL by specialty
• Addiction Medicine (Preventive Medicine) Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2022; 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.