Licking County Alcoholism Prevention Program
Licking County Alcoholism Prevention Program is a healthcare organization registered as Addiction (Substance Use Disorder) Counselor in Newark, OH, holding Type 2 (organization) NPI 1124089438 since 2006. The authorized official on file is John Jordan, Executive Director.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1124089438 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Licking County Alcoholism Prevention Program |
| Practice address | 62 E STEVENS ST, Newark, OH, 43055 |
| Phone | 7403667303 |
| Fax | 7403667305 |
| Enumeration date | 2006-03-29 |
| Last updated in NPPES | 2024-02-21 |
Authorized official
| Name | John Jordan |
|---|---|
| Title | Executive Director |
| Phone | 7404039494 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | Primary | 01322 | OH |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01322 | Other | OH | ODADAS |
| 45-579-01 | Medicaid | OH | — |
Copy-ready billing details
Provider: Licking County Alcoholism Prevention Program NPI: 1124089438 Taxonomy: 101YA0400X (Addiction (Substance Use Disorder) Counselor) Address: 62 E STEVENS ST, Newark, OH, 43055
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1215965496 | James Pfister | Individual | Clinical Social Worker | Newark, OH |
| 1306927868 | Richard Sharp | Individual | Professional Counselor | Newark, OH |
| 1437512548 | Loretta Snoke | Individual | Addiction (Substance Use Disorder) Counselor | Newark, OH |
| 1295199222 | Phillip Casby | Individual | Addiction (Substance Use Disorder) Counselor | Newark, OH |
| 1043674070 | James Takacs | Individual | Addiction (Substance Use Disorder) Counselor | Newark, OH |
| 1780038653 | Deborah Esterline | Individual | Clinical Social Worker | Newark, OH |
| 1538602347 | Hollie Linton | Individual | Social Worker | Newark, OH |
| 1821531443 | Cheryl Hoshor | Individual | Social Worker | Newark, OH |
Verify this record
Cross-check NPI 1124089438 against the authoritative CMS record: view Licking County Alcoholism Prevention Program on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Licking County Alcoholism Prevention Program?
Who is the authorized official for Licking County Alcoholism Prevention Program?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2024-02-21.