DRUG & ALCOHOL SERVICES OF BEAVER VALLEY, INC. (NPI# 1427123009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427123009 |
| Entity Type | Organization |
| Organization Name | DRUG & ALCOHOL SERVICES OF BEAVER VALLEY, INC. |
| Practice Address |
697 State Ave Beaver PA 15009-9502 |
| Practice Telephone | 7247288220 |
| Practice Fax Number | 7247282153 |
| Mailing Telephone | 7247288220 |
| Mailing Fax Number | 7247282153 |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. TOD R MARION (DIRECTOR) |
| Authorized Official Telephone | 7247288220 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1007593300008 | 05 |
| Street Address |
697 STATE AVE |
| City | BEAVER |
| State | PA |
| Zip Code | 15009-9502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447215504 | Robert J Rozman | Social Worker | 697 State Ave, Beaver, PA 15009-9502 | 2006-04-19 |
| 1114468097 | Sara Hogan Leslie | Counselor | 697 State Ave, Beaver, PA 15009-9502 | 2017-03-13 |
| 1942480504 | Berger Counseling and Consulting Services | Counselor | 697 State Ave, Beaver, PA 15009-9502 | 2007-11-12 |
| 1881706042 | William B Mclachlan | Counselor | 697 State Ave, Beaver, PA 15009-9502 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548734494 | Renee Thomas | Registered Nurse | 659 3rd Street, Upper Suite, Beaver, PA 15009 | 2019-01-14 |
| 1275048654 | Dominic J. Deluigi Phd LLC | Psychologist | 500 Market St., Sutei 204b, Beaver, PA 15009 | 2017-12-07 |
| 1861845208 | Gary Koch | Psychologist | 500 Market St Ste 204b, Beaver, PA 15009 | 2016-07-21 |
| 1326367616 | Merakey Pennsylvania | Community/Behavioral Health | 148 Theodore Drive, Chippewa, PA 15009 | 2010-05-26 |
| 1912237215 | Sandra L. Mckeel | Counselor | 697 State Street, Vanport, PA 15009 | 2010-01-08 |
| 1790019438 | Tri-state Medical Group, Inc. | Physical Medicine & Rehabilitation | 1030 Beaner Hollow Road, Beaver Medical Commons, Beaver, PA 15009 | 2009-09-29 |
| 1700040730 | Marie R Brauch | Counselor | 697 State St, #5, Beaver, PA 15009 | 2008-07-18 |
| 1932376696 | Justin Dosch | Emergency Medicine | 1000 Dutch Run Rd, Beaver, PA 15009 | 2008-05-13 |
| 1023280492 | Paul Michael Kuzma Jr Md | Ophthalmology | 628 Market Street, Bridgewater, PA 15009 | 2008-03-26 |
| 1881877868 | Jaime Michelle Kinkead | Social Worker | 160 Third Street, Beaver, PA 15009 | 2007-12-12 |
| Find all providers in zip 15009 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881205748 | Matthew Miller | Counselor | 175 Philpott Ln, Beaver, WV 25813-9501 | 2020-08-13 |
| 1114468097 | Sara Hogan Leslie | Counselor | 697 State Ave, Beaver, PA 15009-9502 | 2017-03-13 |
| 1962694745 | Haily J Carter | Counselor | 75 W 1175 N, Beaver, UT 84713 | 2007-08-15 |
| 1306054937 | Kimberly Meade | Counselor | 175 Philpot Lane, Beaver, WV 25813 | 2007-05-18 |
| 1144438714 | Leah Kidd | Counselor | 175 Philpot Lane, Beaver, WV 25813 | 2007-05-18 |
| 1437367018 | Kenneth Birchfield | Counselor | 175 Philpot Lane, Beaver, WV 25813 | 2007-05-18 |
| 1184831380 | Tina Mullins | Counselor | 175 Philpot Lane, Beaver, WV 25813 | 2007-05-17 |
| 1477760601 | Brian Kidd | Counselor | 175 Philpot Lane, Beaver, WV 25813 | 2007-05-17 |
| 1295942456 | Melissa Birchfield | Counselor | 175 Philpot Lane, Beaver, WV 25813 | 2007-05-17 |
| 1962619056 | Lesley Workman | Counselor | 175 Philpot Lane, Beaver, WV 25813 | 2007-05-17 |
| Find all providers in BEAVER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.