LICKING COUNTY ALCOHOLISM PREVENTION PROGRAM
NPI 1124089438
Counselor - Addiction (Substance Use Disorder) in Newark, OH

Q: What is Licking County Alcoholism Prevention Program's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Active since March 29, 2006

62 E STEVENS ST, NEWARK, OH 43055(740) 366-7303(740) 366-7305 Get Directions Write a Review

NPPES record last updated: February 21, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Licking County Alcoholism Prevention Program NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LICKING COUNTY ALCOHOLISM PREVENTION PROGRAM (NPI 1124089438) is a healthcare organization registered as an addiction (substance use disorder) in Newark, Ohio and active in the NPI registry since March 2006. The organization maintains a secondary practice location in Pataskala and lists John Jordan, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1124089438

Entity TypeOrganization

Primary Taxonomy101YA0400X

Legal Business NameLICKING COUNTY ALCOHOLISM PREVENTION PROGRAM

Location Address62 E STEVENS STNewark, OH 43055-5969

Mailing Address62 E Stevens StNewark, OH 43055-5969 · (740) 366-7303 · Fax (740) 366-7305

Phone(740) 366-7303

Fax(740) 366-7305

Organization SubpartNo

Authorized OfficialJohn JordanExecutive Director · (740) 403-9494

Enumeration DateMarch 29, 2006

Last NPPES UpdateFebruary 21, 2024

NPPES CertifiedFebruary 21, 2024

✔ NPI 1124089438 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in OH · 01322

62 E STEVENS ST, Newark, OH 43055

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Secondary Practice Location 1

Location 1621 Broad St SWPataskala, OH 43062-8118 · Phone (740) 366-7303

Other Identifiers 2

Other01322OH · Odadas

Medicaid45-579-01OH

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. JAMES TAKACS LICDC-CS

Counselor (Addiction (Substance Use Disorder))