Russell William Hogg, MED,CAC,LPC,CCDP

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

PC000649 Issued in PA

Practice address

3030 Chestnut St.
Lebanon Treatment Center
Lebanon, PA 17042

Phone

(717) 273-8000

Fax

(717) 273-8244

NPI assigned

Sep 3, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Advanced Treatment Systems, LLC

  • Methadone Clinic
  • Lebanon, PA
  • NPI 1700996790
  NPD (past)

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220400000000",
    "number": "1912155045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 PINEWOOD AVE.",
            "city": "LITITZ",
            "state": "PA",
            "postal_code": "17543",
            "telephone_number": "717-626-6811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 CHESTNUT ST.",
            "address_2": "LEBANON TREATMENT CENTER",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "17042",
            "telephone_number": "717-273-8000",
            "fax_number": "717-273-8244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOGG",
        "first_name": "RUSSELL",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "MED,CAC,LPC,CCDP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-03",
        "last_updated": "2008-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "PA",
            "license": "PC000649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher D. Hoffman, LCSW
• Gayle K Hoffman, RD
• Jessica L Hoffman, RD, LDN
• Ricky Lynn Hoffman, PA-C
• John Bonaventure Hofmeister, COMS
• Bridget Holbert, AUDIOLOGIST AUD.
• Stacy Holdren, BA
• Melody Alice Holland, PTA
• Jessica Hollinger, CRS
• Robert A Hollis, O.D.

• Addiction (Substance Use Disorder) Counselor in Lebanon, PA
• Providers in Lebanon, PA by specialty
• Addiction (Substance Use Disorder) Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2008; 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.