Peer Recovery Counseling Center

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

PEER RECOVERY COUNSELING CENTER

Practice address

402 McCrillus St
Jasper, IN 47546-2924

Phone

(812) 630-4857

NPI assigned

Nov 9, 2023

Last updated

Nov 13, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Joseph Lee Crutchfield, CRS/CHW

Title

Director

Phone

(812) 630-4857

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1699488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699833600000",
    "number": "1902670946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1312 MAUTE ST",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475461933",
            "telephone_number": "812-653-6638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 MCCRILLUS ST",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475462924",
            "telephone_number": "812-630-4857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEER RECOVERY COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-09",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A",
        "authorized_official_last_name": "CRUTCHFIELD",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "812-630-4857",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CRS/CHW"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patoka Valley Podiatry P.C. (Indiana Foot & Ankle)
• Patoka Valley Radiology, PC
• Ann B Patterson, M.D.
• Kira Patton
• Pediatric Therapy Specialties
• Kiana Alexandra Courtney Perry
• Mary Peter, MD
• Alex Pfau, D.M.D
• Gregory T Pfister, M.D.
• Phillip R Dawkins MD PC

• Substance Use Disorder Rehabilitation Clinic/Center in Jasper, IN
• Providers in Jasper, IN by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; 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.