Active NPI
Cumberland Plateau Recovery
- Addiction (Substance Use Disorder) Counselor
- Livingston, TN
National Provider Identifier
1700929205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 553
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5441089 | Medicaid | TN |
Other names 1
- Cumberland Plateau Recovery
National Provider Directory
National Provider DirectoryLocations
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.