ACHD-LOIS E. JACKSON UNIT
NPI 1942360490
Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children in Cumberland, MD

Active since December 12, 2006
10102 COUNTRY CLUB RD SE, CUMBERLAND, MD 21502(301) 777-2290(301) 777-2141 Get Directions Write a Review

NPPES record last updated: August 6, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Achd-lois E. Jackson Unit NPPES

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

ACHD-LOIS E. JACKSON UNIT (NPI 1942360490) is a healthcare organization registered as a substance abuse treatment, children in Cumberland, Maryland and active in the NPI registry since December 2006. The organization lists Sue Raver, Health Officer, as its authorized official.

NPPES Registry Identity

NPI1942360490
Entity TypeOrganization
Primary Taxonomy3245S0500X
Legal Business NameALLEGANY COUNTY HEALTH DEPARTMENT
Location Address10102 COUNTRY CLUB RD SECumberland, MD 21502-8339
Mailing AddressPo Box 1745Cumberland, MD 21501-1745 · (301) 759-5000 · Fax (301) 777-5674
Fax(301) 777-2141
Organization SubpartYes
Authorized OfficialSue RaverHealth Officer · (301) 759-5001
Enumeration DateDecember 12, 2006
Last NPPES UpdateAugust 6, 2013
✔ NPI 1942360490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation Facility · Substance Abuse Treatment, ChildrenResidential Treatment Facilities
Taxonomy Code3245S0500X
License✔ Licensed in MD · 16297
Definition
A facility or distinct part of a facility for children that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.
10102 COUNTRY CLUB RD SE, Cumberland, MD 21502

Other Names 1

Other NameAchd-lois E. Jackson Unit

Other Identifiers 10

Other323817Value Options
Other604116-02Carefirst Bcbs
Other277593Mamsi
Other055998Priority Partners (mco)
Other351541Mamsi
Medicaid603304100MD
Other02IOMagellan
Other5098907Ubh (mco)
OtherIOMagellan
OtherNU1Ghmsi

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Achd-lois E. Jackson Unit is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

15

Medicare enrollment records show 15 clinicians reassign Medicare billing to Achd-Lois E. Jackson Unit, which bills Medicare for the services they deliver. Of these, 14 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 6

Mental Health Counselor6
Clinical Social Worker4
Psychiatry2
Certified Nurse Midwife (CNM)1
Nurse Practitioner1
Pediatric Medicine1

Clinicians, nearest first (15)

Psychiatry
NPI 1093753519
12500 WILLOWBROOK RD
Cumberland, MD 21502
(301) 777-5627
✔ PECOS✔ Accepts Medicare0.4 mi
Certified Nurse Midwife (CNM)
NPI 1255467346
12501 WILLOWBROOK RD
Cumberland, MD 21502
(301) 759-5084
✔ PECOS✔ Accepts Medicare0.8 mi
Pediatric Medicine
NPI 1801977558
12501 WILLOWBROOK RD
Cumberland, MD 21502
(301) 759-5000
✔ PECOS✔ Accepts Medicare0.8 mi
Mental Health Counselor
NPI 1467952614
12501 WILLOWBROOK RD
Cumberland, MD 21502
(301) 759-5050
✔ PECOS✔ Accepts Medicare0.8 mi
Mental Health Counselor
NPI 1578343828
12503 WILLOWBROOK RD
Cumberland, MD 21502
(301) 759-5050
✔ PECOS0.9 mi
Mental Health Counselor
NPI 1245948462
12503 WILLOWBROOK RD
Cumberland, MD 21502
(301) 759-5050
✔ PECOS✔ Accepts Medicare0.9 mi
Mental Health Counselor
NPI 1295388759
12503 WILLOWBROOK RD
Cumberland, MD 21502
(301) 759-5278
✔ PECOS✔ Accepts Medicare0.9 mi
Clinical Social Worker
NPI 1932818176
12503 WILLOWBROOK RD
Cumberland, MD 21502
(301) 876-2613
✔ PECOS✔ Accepts Medicare0.9 mi
Mental Health Counselor
NPI 1811662307
12503 WILLOWBROOK RD
Cumberland, MD 21502
(301) 759-5050
✔ PECOS0.9 mi
Clinical Social Worker
NPI 1851652440
12503 WILLOWBROOK RD
Cumberland, MD 21502
(301) 759-5280
✔ PECOS✔ Accepts Medicare0.9 mi
Clinical Social Worker
NPI 1780945386
12503 WILLOWBROOK RD
Cumberland, MD 21502
(301) 759-5280
✔ PECOS✔ Accepts Medicare0.9 mi
Mental Health Counselor
NPI 1578824140
12503 WILLOWBROOK RD
Cumberland, MD 21502
(301) 759-5280
✔ PECOS✔ Accepts Medicare0.9 mi
Clinical Social Worker
NPI 1326309907
12503 WILLOWBROOK RD
Cumberland, MD 21502
(301) 759-5255
✔ PECOS✔ Accepts Medicare0.9 mi
Nurse Practitioner
NPI 1841612868
13800 MCMULLEN HWY SW
Cumberland, MD 21502
(301) 729-7132
✔ PECOS✔ Accepts Medicare5.2 mi
Psychiatry
NPI 1831432152
6550 MERCANTILE DR E STE 206
Frederick, MD 21703
(240) 815-5201
✔ PECOS✔ Accepts Medicare72 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Allegany County Health Department's NPI number?

The NPI number for Allegany County Health Department is 1942360490. It was assigned to this organization in the NPPES registry on December 12, 2006. The provider is also known as Achd-Lois E. Jackson Unit.

Where is Allegany County Health Department located?

Allegany County Health Department is located at 10102 Country Club Rd SE, Cumberland, MD 21502. The listed phone number is (301) 777-2290.

What is Allegany County Health Department's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility, specializing in Substance Abuse Treatment, Children, with taxonomy code 3245S0500X.

Is Allegany County Health Department enrolled in Medicare?

Yes. Allegany County Health Department is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Allegany County Health Department?

According to the CMS Revalidation Reassignment List (October 2026 release), 15 clinicians in 6 Medicare specialties reassign their Medicare billing to Allegany County Health Department. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Mental Health Counselor (6), Clinical Social Worker (4) and Psychiatry (2). Of these, 14 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Allegany County Health Department was last updated on August 6, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.