Active NPI
House of Light Drug and Alcohol Counseling, Inc.
- Addiction (Substance Use Disorder) Counselor
- Canton, PA
National Provider Identifier
1689712689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 087023
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 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 DirectoryNPI 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.