NPIMap

Organization Active NPI

Pike County Recovery Council Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Waverly, OH
National Provider Identifier
1760742993
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
PIKE COUNTY RECOVERY COUNCIL INC
Practice address
217 E Emmitt Ave
Waverly, OH 45690-1337
Phone
(740) 947-6727
Fax
(740) 947-6917
NPI assigned
May 22, 2012
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Veronica Michelle Black, CDCANPI 1326565144
Title
Deputy Director
Phone
(740) 947-6727

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

217 E Emmitt Ave
Waverly, OH 45690-1337

Mailing address

PO Box 226
Waverly, OH 45690-0226
Phone (740) 947-6727

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180411001744 OH Part B Supplier - Clinic/Group Practice 0941563670 Receives reassigned benefits from 7 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Waverly, OH; Piketon, OH; Chillicothe, OH

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

5416 Riegel Ridge Rd
Oak Hill, OH 45656

15221 State Route 772
Piketon, OH 45661
Phone (740) 493-4260

15221 State Route 772
#124
Piketon, OH 45661
Phone (740) 357-7583

2266 Wakefield Mound Rd
Piketon, OH 45661
Phone (516) 343-2772

111 N High St
Waverly, OH 45690
Phone (740) 804-7278

14534 US Highway 23
Waverly, OH 45690
Phone (740) 637-7250

14574 US Highway 23
Waverly, OH 45690
Phone (740) 912-9093

217 E Emmitt Ave
Waverly, OH 45690

Practitioners & affiliated clinicians

Practitioners 161

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 161

NPI Registry JSON

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

{
    "created_epoch": "1337644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1760742993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 226",
            "city": "WAVERLY",
            "state": "OH",
            "postal_code": "456900226",
            "telephone_number": "740-947-6727",
            "fax_number": "740-947-6917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 E EMMITT AVE",
            "city": "WAVERLY",
            "state": "OH",
            "postal_code": "456901337",
            "telephone_number": "740-947-6727",
            "fax_number": "740-947-6917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIKE COUNTY RECOVERY COUNCIL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-22",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "DEPUTY DIRECTOR",
        "authorized_official_telephone_number": "740-947-6727",
        "authorized_official_credential": "CDCA"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waverly, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.