Organization Active NPI

House of Light Drug and Alcohol Counseling, Inc.

  • Addiction (Substance Use Disorder) Counselor
  • Canton, PA
National Provider Identifier
1689712689
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
087023 Issued in PA
Legal business name
HOUSE OF LIGHT DRUG AND ALCOHOL COUNSELING, INC.
Practice address
RR 1 Box 1061
Canton, PA 17724-8680
Phone
(570) 673-4443
NPI assigned
Feb 2, 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
Mrs. Debra Sharp, BA
Title
Project Director
Phone
(570) 673-4443

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 087023 PA Primary

Addresses

Primary practice location

RR 1 Box 1061
Canton, PA 17724-8680

Mailing address

RR 1 Box 1061
Canton, PA 17724-8680

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689712689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 1 BOX 1061",
            "city": "CANTON",
            "state": "PA",
            "postal_code": "177248680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RR 1 BOX 1061",
            "city": "CANTON",
            "state": "PA",
            "postal_code": "177248680",
            "telephone_number": "570-673-4443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSE OF LIGHT DRUG AND ALCOHOL COUNSELING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHARP",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "PROJECT DIRECTOR",
        "authorized_official_telephone_number": "570-673-4443",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BA"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "PA",
            "license": "087023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, PA

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.