NPIMap

Organization Active NPI

Colleton Commission on Alcohol and Drug Abuse

  • Community/Behavioral Health Agency
  • Walterboro, SC
National Provider Identifier
1962400325
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
COLLETON COMMISSION ON ALCOHOL AND DRUG ABUSE
Practice address
1439 Thunderbolt Dr
Walterboro, SC 29488-9341
Phone
(843) 538-4343
Fax
(843) 538-7613
NPI assigned
Jul 11, 2005
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mr. Ronald L. Rickenbaker
Title
Director
Phone
(843) 538-4343

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1439 Thunderbolt Dr
Walterboro, SC 29488-9341

Mailing address

PO Box 1037
Walterboro, SC 29488-0031
Phone (843) 538-4343

Other identifiers 1

IdentifierTypeStateIssuer
AD33CLMedicaidSC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
42D1014093Colleton Commission on Alhocol & Drug Abuse1439 Thunderbolt Drive, Walterboro, SC 29488Certificate of waiverJun 24, 2027

National Provider Directory

National Provider Directory

Locations

1439 Thunderbolt Dr
Walterboro, SC 29488
Phone (843) 538-4343

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1962400325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1037",
            "city": "WALTERBORO",
            "state": "SC",
            "postal_code": "294880031",
            "telephone_number": "843-538-4343",
            "fax_number": "843-538-7613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1439 THUNDERBOLT DR",
            "city": "WALTERBORO",
            "state": "SC",
            "postal_code": "294889341",
            "telephone_number": "843-538-4343",
            "fax_number": "843-538-7613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLETON COMMISSION ON ALCOHOL AND DRUG ABUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-11",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "RICKENBAKER",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "843-538-4343",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AD33CL",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Walterboro, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.