COLLETON COMMISSION ON ALCOHOL AND DRUG ABUSE
NPI 1962400325
Community/Behavioral Health in Walterboro, SC

NPI Status: Active since July 11, 2005

Contact Information

1439 THUNDERBOLT DR
WALTERBORO, SC
ZIP 29488
Phone: (843) 538-4343
Fax: (843) 538-7613

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  • Organization
  • Community/Behavioral Health
  • Accepts Insurance
  • CLIA Number: 42D1014093
  • CLIA Cert. Type: Comp. Outpatient Rehab Facility
  • CLIA Exp. Date: 06-24-2027

About COLLETON COMMISSION ON ALCOHOL AND DRUG ABUSE

This page provides the complete NPI Profile along with additional information for Colleton Commission On Alcohol And Drug Abuse, a provider established in Walterboro, South Carolina operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1962400325 assigned on July 2005. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated one year ago. Colleton Commission On Alcohol And Drug Abuse operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Mr. Ronald L. Rickenbaker (Director)

NPI
1962400325
Provider Name
COLLETON COMMISSION ON ALCOHOL AND DRUG ABUSE
Entity Type
Organization
Location Address
1439 THUNDERBOLT DR WALTERBORO, SC 29488
Location Phone
(843) 538-4343
Location Fax
(843) 538-7613
Mailing Address
PO BOX 1037 WALTERBORO, SC 29488
Mailing Phone
(843) 538-4343
Mailing Fax
(843) 538-7613
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-11-2005
Last Update Date
09-11-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
Taxonomy Description
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101YA0400XBehavioral Health & Social Service Providers

Counselor
Addiction (Substance Use Disorder)

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Standard Expanded Bronze - HMO
  • Standard Gold - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Clear Silver with $0 Insulin Options - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Gold with Atrium Health - HMO
  • Complete Gold with Atrium Health + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Bronze with Atrium Health - HMO
  • Elite Bronze with Atrium Health + Vision + Adult Dental - HMO
  • Enhanced Asthma/COPD Care Silver with $0 Drug Options - HMO
  • Blue Beaufort Bronze 1 - HMO
  • Blue Beaufort Bronze 2 - HMO
  • Blue Beaufort Gold 1 - HMO
  • Blue Beaufort Silver 1 - HMO
  • Blue Beaufort Silver 2 - HMO
  • Blue Beaufort Silver 2 + Adult Vision - HMO
  • Blue Beaufort Standard Expanded Bronze - HMO
  • Blue Beaufort Standard Gold - HMO
  • Blue Beaufort Standard Silver - HMO
  • Blue Congaree Bronze 1 - HMO
  • Molina Gold Core 1640 - HMO
  • Molina Gold Core 1640 Plus with Adult Dental and Vision - HMO
  • Molina Gold Core 1640 Plus with Adult Vision - HMO
  • Molina Gold Standard - HMO
  • Molina Gold Value - HMO
  • Molina Gold Value Plus with Adult Dental and Vision - HMO
  • Molina Gold Value Plus with Adult Vision - HMO
  • Molina Silver Core - HMO
  • Molina Silver Core Plus with Adult Dental and Vision - HMO
  • Molina Silver Core Plus with Adult Vision - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. RONALD L. RICKENBAKER

Authorized Official Title
DIRECTOR
Authorized Official Phone
(843) 538-4343

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
AD33CLMEDICAID (05)SC 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
42D1014093
Facility Type
Comp. Outpatient Rehab Facility
Certificate Effective Date
June 25, 2025
Certificate Expiration Date
June 24, 2027
Laboratory Director
NIKEYIA L. HAMMONDS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Colleton Commission On Alcohol And Drug Abuse to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for COLLETON COMMISSION ON ALCOHOL AND DRUG ABUSE

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1962400325, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
2
Unchanged
Pos 5
4
Doubled → 8
Pos 6
0
Unchanged
Pos 7
0
Doubled → 0
Pos 8
3
Unchanged
Pos 9
2
Doubled → 4
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 4 → 8 0 → 0 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 1 + 2 + 2 + 8 + 0 + 0 + 3 + 4 + 24 = 55

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1962400325.

Other Providers at the Same Location


The following 19 providers are registered at the same or a nearby location.

Counselor (Addiction (Substance Use Disorder))
1439 THUNDERBOLT DR
WALTERBORO, SC 29488
Counselor (Addiction (Substance Use Disorder))
1439 THUNDERBOLT DR
WALTERBORO, SC 29488
Counselor (Addiction (Substance Use Disorder))
1439 THUNDERBOLT DR
WALTERBORO, SC 29488
Counselor (Addiction (Substance Use Disorder))
1439 THUNDERBOLT DR
WALTERBORO, SC 29488
Social Worker
1439 THUNDERBOLT DR
WALTERBORO, SC 29488
Counselor (Addiction (Substance Use Disorder))
1439 THUNDERBOLT DR
WALTERBORO, SC 29488
Counselor (Addiction (Substance Use Disorder))
1439 THUNDERBOLT DR
WALTERBORO, SC 29488
Counselor (Addiction (Substance Use Disorder))
1439 THUNDERBOLT DR
WALTERBORO, SC 29488
Counselor (Professional)
1439 THUNDERBOLT DR
WALTERBORO, SC 29488
Counselor (Addiction (Substance Use Disorder))
1439 THUNDERBOLT DR
WALTERBORO, SC 29488
Counselor (Addiction (Substance Use Disorder))
1439 THUNDERBOLT DR
WALTERBORO, SC 29488
Counselor (Addiction (Substance Use Disorder))
1439 THUNDERBOLT DR
WALTERBORO, SC 29488
Counselor (Addiction (Substance Use Disorder))
1439 THUNDERBOLT DR
WALTERBORO, SC 29488
Counselor (Addiction (Substance Use Disorder))
1439 THUNDERBOLT DR
WALTERBORO, SC 29488
Counselor (Addiction (Substance Use Disorder))
1439 THUNDERBOLT DR
WALTERBORO, SC 29488
Counselor (Addiction (Substance Use Disorder))
1439 THUNDERBOLT DR
WALTERBORO, SC 29488
Counselor (Addiction (Substance Use Disorder))
1439 THUNDERBOLT DR
WALTERBORO, SC 29488
Counselor (Professional)
1439 THUNDERBOLT DR
WALTERBORO, SC 29488
Peer Specialist
1439 THUNDERBOLT DR
WALTERBORO, SC 29488

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962400325, enumerated as an "organization" on July 11, 2005.

The provider is located at 1439 THUNDERBOLT DR WALTERBORO, SC 29488 and the phone number is (843) 538-4343.

Community/Behavioral Health with taxonomy code 251S00000X.

The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter of. Please consult your insurance carrier or call the provider to verify.