KOKOMO TREATMENT SERVICES
NPI 1194581769
Clinic/Center - Methadone in Kokomo, IN

Active since February 22, 2024CLIA 15D2309502 · Waiver
2906 S REED RD, KOKOMO, IN 46902(765) 588-2010 Get Directions Write a Review

NPPES record last updated: November 13, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kokomo Treatment Services NPPES

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

KOKOMO TREATMENT SERVICES (NPI 1194581769) is a healthcare organization registered as a methadone in Kokomo, Indiana and active in the NPI registry since February 2024. The organization holds a CLIA Waiver certificate valid through August 14, 2026 and lists Robyn Tanis, Executive Director Of Contract Mana, as its authorized official.

NPPES Registry Identity

NPI1194581769
Entity TypeOrganization
Primary Taxonomy261QM2800X
Legal Business NamePINNACLE TREATMENT CENTERS IN-III, LLC
Location Address2906 S REED RDKokomo, IN 46902-3991
Mailing Address1317 Route 73 Ste 200Mount Laurel, NJ 08054-2202 · (856) 439-6111
Organization SubpartNo
Authorized OfficialRobyn TanisExecutive Director Of Contract Mana · (856) 533-8762
Enumeration DateFebruary 22, 2024
Last NPPES UpdateNovember 13, 2024
NPPES CertifiedNovember 13, 2024
NPI 1194581769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · MethadoneAmbulatory Health Care Facilities
Taxonomy Code261QM2800X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
2906 S REED RD, Kokomo, IN 46902

Other Names 1

Doing Business AsKokomo Treatment Services

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 15D2309502

Kokomo Treatment Services · Kokomo, IN
Active · expires Aug 14, 2026
CLIA Number15D2309502
Laboratory TypeSubstance Abuse Treatment
Certificate Effective DateAugust 15, 2024
Certificate Expiration DateAugust 14, 2026
Laboratory DirectorDevona R. Anderson
Laboratory Phone(765) 588-2011
Laboratory LocationKokomo Treatment Services2906 S Reed Rd, Kokomo, IN 46902
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pinnacle Treatment Centers In-Iii, LLC's NPI number?

The NPI number for Pinnacle Treatment Centers In-Iii, LLC is 1194581769. It was assigned to this organization in the NPPES registry on February 22, 2024. The provider is doing business as Kokomo Treatment Services.

Where is Pinnacle Treatment Centers In-Iii, LLC located?

Pinnacle Treatment Centers In-Iii, LLC is located at 2906 S Reed Rd, Kokomo, IN 46902. The listed phone number is (765) 588-2010.

What is Pinnacle Treatment Centers In-Iii, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Methadone, with taxonomy code 261QM2800X.

Does Pinnacle Treatment Centers In-Iii, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2309502) is associated with this NPI, valid through August 14, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pinnacle Treatment Centers In-Iii, LLC accept?

Health plans from CareSource list Pinnacle Treatment Centers In-Iii, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pinnacle Treatment Centers In-Iii, LLC was last updated on November 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.