PINNACLE TREATMENT CENTERS OH-XII, LLC
NPI 1790301869
Clinic/Center - Methadone in Sandusky, OH

Active since June 24, 2020CLIA 36D2181568 · Waiver
1036 CLEVELAND RD, SANDUSKY, OH 44870(419) 504-0068 Get Directions Write a Review

NPPES record last updated: June 24, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pinnacle Treatment Centers Oh-xii, Llc NPPES

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

PINNACLE TREATMENT CENTERS OH-XII, LLC (NPI 1790301869), doing business as Sandusky Treatment Services, is a healthcare organization registered as a methadone in Sandusky, Ohio and active in the NPI registry since June 2020. The organization holds a CLIA Waiver certificate valid through April 6, 2028 and lists Robyn Tanis, Executive Director Of Contract Mgmt, as its authorized official.

NPPES Registry Identity

NPI1790301869
Entity TypeOrganization
Primary Taxonomy261QM2800X
Legal Business NamePINNACLE TREATMENT CENTERS OH-XII, LLC
Location Address1036 CLEVELAND RDSandusky, OH 44870-4034
Mailing Address1317 Route 73 Ste 200Mount Laurel, NJ 08054-2202 · (856) 439-6111
Organization SubpartNo
Authorized OfficialRobyn TanisExecutive Director Of Contract Mgmt · (856) 533-8762
Enumeration DateJune 24, 2020
NPPES CertifiedJune 24, 2020
NPI 1790301869 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.
Also ListedClinic/Center · Recovery CareTaxonomy 261QR0800X
1036 CLEVELAND RD, Sandusky, OH 44870

Other Names 1

Doing Business AsSandusky 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 36D2181568

Pinnacle Treatment Centers Oh-Xii, LLC Dba Sandusky Treatment Services · Sandusky, OH
Active · expires Apr 6, 2028
CLIA Number36D2181568
Laboratory TypeAlcohol And Drug Treatmen
Certificate Effective DateApril 7, 2026
Certificate Expiration DateApril 6, 2028
Laboratory DirectorBrad Allen Olson
Laboratory Phone(412) 509-0550
Laboratory LocationPinnacle Treatment Centers Oh-Xii, LLC Dba Sandusky Treatment Services1036 Cleveland Road, Sandusky, OH 44870
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 17

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

Licensed Practical Nurse
1036 CLEVELAND RD
SANDUSKY, OH 44870
Registered Nurse (Addiction (Substance Use Disorder))
1036 CLEVELAND RD
SANDUSKY, OH 44870
Licensed Practical Nurse
1036 CLEVELAND RD
SANDUSKY, OH 44870
Licensed Practical Nurse
1036 CLEVELAND RD
SANDUSKY, OH 44870
Registered Nurse (Addiction (Substance Use Disorder))
1036 CLEVELAND RD
SANDUSKY, OH 44870
Counselor (Addiction (Substance Use Disorder))
1036 CLEVELAND RD
SANDUSKY, OH 44870
Licensed Practical Nurse
1036 CLEVELAND RD
SANDUSKY, OH 44870
Licensed Vocational Nurse
1036 CLEVELAND RD
SANDUSKY, OH 44870

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 Oh-Xii, LLC's NPI number?

The NPI number for Pinnacle Treatment Centers Oh-Xii, LLC is 1790301869. It was assigned to this organization in the NPPES registry on June 24, 2020. The provider is doing business as Sandusky Treatment Services.

Where is Pinnacle Treatment Centers Oh-Xii, LLC located?

Pinnacle Treatment Centers Oh-Xii, LLC is located at 1036 Cleveland Rd, Sandusky, OH 44870. The listed phone number is (419) 504-0068.

What is Pinnacle Treatment Centers Oh-Xii, LLC's specialty?

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

Does Pinnacle Treatment Centers Oh-Xii, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2181568) is associated with this NPI, valid through April 6, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pinnacle Treatment Centers Oh-Xii, LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Pinnacle Treatment Centers Oh-Xii, 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 Oh-Xii, LLC was last updated on June 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.