OrganizationActive
Licking County Alcoholism Prevention Program
NPI 1124089438 · Addiction (Substance Use Disorder) Counselor · Newark, OH
Provider details
- NPI number
- 1124089438
- Entity type
- Organization
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- John Jordan, Executive Director(740) 403-9494
- License
- 01322 (OH)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(95/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
62 E Stevens St
Newark, OH 43055-5969
Phone: (740) 366-7303
Fax: (740) 366-7305
Street-level locationGet directions
Mailing address
62 E Stevens St
Newark, OH 43055-5969
Additional practice locations (1)
- 621 Broad St SwPataskala, OH 43062-8118Phone: (740) 366-7303
Registry dates
- Enumerated
- 2006-03-29
- Last updated
- 2024-02-21
- Certified
- 2024-02-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.