NPIMap

Organization Active NPI

Mental Health and Additive Services

  • Substance Abuse Rehabilitation Facility
  • Sugar Grove, OH
National Provider Identifier
1780133504
Registry record updated Sep 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
PCC-SE177 Issued in OH
Legal business name
MENTAL HEALTH AND ADDITIVE SERVICES
Practice address
RR 1 Box 549
Sugar Grove, OH 43155-9627
Phone
(740) 653-4324
NPI assigned
Sep 22, 2016
Last updated
Sep 22, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
SOUTHEASTERN CORRECTIONALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 22, 2016

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

Authorized official

Name
Mr. Richard G Gettings, LPCC-S
Title
Correctiional Program Coornator
Phone
(740) 653-4324

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X PCC-SE177 OH Primary

Addresses

Primary practice location

RR 1 Box 549
Sugar Grove, OH 43155-9627

Mailing address

5900 Bis Rd SW
Lancaster, OH 43130-9606
Phone (740) 653-4324

Other names 1

  • Southeastrn Correctional Other name

National Provider Directory

National Provider Directory
Tax ID family
Southwest Ohio Developc6 organizations share this tax ID, including this one
Part of
Southwest Ohio Developc

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5900 Bis Rd SW
Lancaster, OH 43130
Phone (740) 653-4324

NPI Registry JSON

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

{
    "created_epoch": "1474502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474502400000",
    "number": "1780133504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 BIS RD SW",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431309606",
            "telephone_number": "740-653-4324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RR 1 BOX 549",
            "city": "SUGAR GROVE",
            "state": "OH",
            "postal_code": "431559627",
            "telephone_number": "740-653-4324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL HEALTH AND ADDITIVE SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTHEASTERN CORRECTIONAL",
        "enumeration_date": "2016-09-22",
        "last_updated": "2016-09-22",
        "status": "A",
        "authorized_official_last_name": "GETTINGS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CORRECTIIONAL PROGRAM COORNATOR",
        "authorized_official_telephone_number": "740-653-4324",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPCC-S"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "OH",
            "license": "PCC-SE177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southeastrn Correctional",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sugar Grove, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2016; 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.