Organization provider

SOUTHEASTERN COUNCIL ON ALCOHOLISM AND DRUG DEPENDENCE INC

Substance Abuse Rehabilitation Facility Adult Mental Health Clinic/Center Medicare enrolled

SOUTHEASTERN COUNCIL ON ALCOHOLISM AND DRUG DEPENDENCE INC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1003960022, based in Lebanon, CT. The organization lists 2 taxonomy classifications, with Substance Abuse Rehabilitation Facility recorded as primary.

Getting there

The practice address on file is 37 CAMP MOOWEEN ROAD, Lebanon, CT 06249. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

37 CAMP MOOWEEN ROAD, Lebanon, CT 06249 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
SA0020 CT Substance Abuse Rehabilitation Facility primary
0439 CT Adult Mental Health Clinic/Center
SA-0018 CT Substance Abuse Rehabilitation Facility

This provider holds licence SA0020 issued in CT. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Part B Supplier - Clinic/group Practice
PAC ID
0941349591

Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Substance Abuse Rehabilitation Facility covers

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. NUCC Health Care Provider Taxonomy, code 324500000X
Residential Treatment Facilities Substance Abuse Rehabilitation Facility

All registered taxonomy codes

This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
324500000X Substance Abuse Rehabilitation Facility SA0020 CT primary
261QM0850X Adult Mental Health Clinic/Center Adult Mental Health 0439 CT
324500000X Substance Abuse Rehabilitation Facility SA-0018 CT

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.

NPI1003960022 valid check digit
Entity typeOrganization (NPI-2)
Enumeration dateJan 23, 2007
Last updatedMar 9, 2026
StatusActive
Practice address 37 CAMP MOOWEEN ROAD
Lebanon, CT 06249
(860) 889-1717
Fax (860) 886-2361
Mailing address 1 MONTAUK AVE STE 301
New London, CT 06320
Other identifiers 008109801 (CT)
008110670 (CT)
008110668 (CT)
004042073 (CT)
008132356 (CT)
004144606 (CT)
008004220 (CT)
008075943 (CT)
008133549 (CT)
This record was updated on Mar 9, 2026, which is recent enough that the contact details are likely still accurate.

Number check

1003960022 passes the NPI check digit test The final digit 2 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 0 0 3 9 6 0 0 2
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 0 0 3 9 6 0 0 4

Sum = 48 · next multiple of 10 = 50 · check digit = 2 · actual last digit = 2

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1003960022?
NPI 1003960022 is the National Provider Identifier assigned to SOUTHEASTERN COUNCIL ON ALCOHOLISM AND DRUG DEPENDENCE INC in Lebanon, CT. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Substance Abuse Rehabilitation Facility cover?
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
How do I contact SOUTHEASTERN COUNCIL ON ALCOHOLISM AND DRUG DEPENDENCE INC?
The phone number on file with NPPES is (860) 889-1717, last updated Mar 9, 2026. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does SOUTHEASTERN COUNCIL ON ALCOHOLISM AND DRUG DEPENDENCE INC accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1003960022 a valid number?
Yes. 1003960022 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.