COMMUNITY ACTION AGAINST ADDICTION NPI 1083672372

NPI Information

  • NPI: 1083672372
  • Provider Name: COMMUNITY ACTION AGAINST ADDICTION
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Organization
  • Address: 5209 EUCLID AVE
    CLEVELAND, OH
    ZIP 44103
  • Phone: (216) 881-0765

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NPI Details

COMMUNITY ACTION AGAINST ADDICTION is an addiction (substance use disorder) counselor in Cleveland, OH. COMMUNITY ACTION AGAINST ADDICTION NPI is 1083672372. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5209 EUCLID AVE
CLEVELAND, OH
ZIP 44103-703
Phone: (216) 881-0765
Fax: (216) 431-2190

The provider's authorized official is Robert J Moore .
The authorized official title is Ceo and has the following contact phone number (216) 881-0765.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatm (HCPCS:G2067)
  • Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure (HCPCS:G2078)
  • Medication assisted treatment, weekly bundle not including the drug, including substance use counseling, individual and group therapy, and toxicology testing if performed (provision of the services by a medicare-enrolled opioid treatment program) (HCPCS:G2074)

The enumeration date for this NPI number is 5/3/2006 and was last updated on 10/14/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)020249850OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11853901MEDICAIDOHIO
22942641MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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