Organization Active NPI

Council on Alcohol and Drug Abuse

  • Clinic/Center
  • Bethlehem, PA
National Provider Identifier
1902926835
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
487029 Issued in PA
Legal business name
COUNCIL ON ALCOHOL AND DRUG ABUSE
Practice address
502 E 4TH St
Bethlehem, PA 18015-1882
Phone
(610) 814-3108
Fax
(610) 814-3109
NPI assigned
Apr 2, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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
Mr. Paul Minnich, LSW, CAC
Title
Executive Director
Phone
(610) 437-0801

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 487029 PA Primary

Addresses

Primary practice location

502 E 4TH St
Bethlehem, PA 18015-1882

Mailing address

1031 W Linden St
Suite 202
Allentown, PA 18102-3988
Phone (610) 437-0801

Other identifiers 1

IdentifierTypeStateIssuer
1007531210001MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
Council on Alcohol and Drug Abuse2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902926835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1031 W LINDEN ST",
            "address_2": "SUITE 202",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181023988",
            "telephone_number": "610-437-0801",
            "fax_number": "610-437-1997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 E 4TH ST",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180151882",
            "telephone_number": "610-814-3108",
            "fax_number": "610-814-3109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNCIL ON ALCOHOL AND DRUG ABUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MINNICH",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "610-437-0801",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LSW, CAC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "PA",
            "license": "487029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007531210001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, 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.