NPIMap

Organization Active NPI

Fayette Co. Drug & Alcohol Commission, Inc.

  • Addiction (Substance Use Disorder) Counselor
  • Uniontown, PA
National Provider Identifier
1851372403
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
261084 Issued in PA
Legal business name
FAYETTE CO. DRUG & ALCOHOL COMMISSION, INC.
Practice address
100 New Salem Rd
Suite 106
Uniontown, PA 15401-8936
Phone
(724) 438-3576
Fax
(724) 438-3305
NPI assigned
Nov 10, 2005
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
Mrs. Deanna Sherbondy, CACII, CPS
Title
Executive Director
Phone
(724) 438-3576

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YA0400X 261084 PA Primary

Addresses

Primary practice location

100 New Salem Rd
Suite 106
Uniontown, PA 15401-8936

Mailing address

100 New Salem Rd
Suite 106
Uniontown, PA 15401-8936
Phone (724) 438-3576

Other identifiers 3

IdentifierTypeStateIssuer
1517783OtherPAHIGHMARK BC BS
328848OtherPAVALUE BEHAVIORAL HEALTH
1007582440007MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
Fayette Co Drug Alcohol Commission Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

100 New Salem Rd
Ste 106
Uniontown, PA 15401
Phone (724) 438-3576

NPI Registry JSON

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851372403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 NEW SALEM RD",
            "address_2": "SUITE 106",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154018936",
            "telephone_number": "724-438-3576",
            "fax_number": "724-438-3305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 NEW SALEM RD",
            "address_2": "SUITE 106",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154018936",
            "telephone_number": "724-438-3576",
            "fax_number": "724-438-3305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAYETTE CO. DRUG & ALCOHOL COMMISSION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHERBONDY",
        "authorized_official_first_name": "DEANNA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "724-438-3576",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CACII, CPS"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "PA",
            "license": "261084",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BC BS",
            "identifier": "1517783",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE BEHAVIORAL HEALTH",
            "identifier": "328848",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007582440007",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Uniontown, 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.

Verify at the official NPI Registry.