Organization Active NPI

Cumberland Plateau Recovery

  • Addiction (Substance Use Disorder) Counselor
  • Livingston, TN
National Provider Identifier
1700929205
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
553 Issued in TN
Legal business name
CUMBERLAND PLATEAU RECOVERY
Practice address
550 North Church Street
Livingston, TN 38570
Phone
(931) 403-3577
NPI assigned
Feb 14, 2007
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
David Sadler Sr., MA LADAC
Title
Owner
Phone
(931) 403-3577

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X 553 TN Primary

Addresses

Primary practice location

550 North Church Street
Livingston, TN 38570

Mailing address

550 North Church Street
Livingston, TN 38570
Phone (931) 403-3577

Other identifiers 1

IdentifierTypeStateIssuer
5441089MedicaidTN

Other names 1

  • Cumberland Plateau Recovery Other name

National Provider Directory

National Provider Directory

Locations

550 N Church St
Livingston, TN 38570
Phone (931) 403-3577

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700929205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 NORTH CHURCH STREET",
            "city": "LIVINGSTON",
            "state": "TN",
            "postal_code": "38570",
            "telephone_number": "931-403-3577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 NORTH CHURCH STREET",
            "city": "LIVINGSTON",
            "state": "TN",
            "postal_code": "38570",
            "telephone_number": "931-403-3577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUMBERLAND PLATEAU RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SADLER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-403-3577",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "MA LADAC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TN",
            "license": "553",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5441089",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cumberland Plateau Recovery",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Livingston, TN

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.