NPIMap

Organization Active NPI

Innova Recovery

  • Community/Behavioral Health Agency
  • Hillsboro, OR
National Provider Identifier
1013608231
Registry record updated Jun 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
INNOVA RECOVERY
Practice address
446 SE Washington St
Hillsboro, OR 97123-4141
Phone
(210) 254-3618
Fax
(210) 881-9022
NPI assigned
May 18, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kasi Howard, PSYD
Title
Owner
Phone
(210) 838-0090

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

446 SE Washington St
Hillsboro, OR 97123-4141

Mailing address

1842 Lockhill Selma Rd Ste 102
San Antonio, TX 78213-1559
Phone (210) 838-0090

Other names 1

  • Innova Recovery Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Innova Recovery PLLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

446 SE Washington St
Hillsboro, OR 97123

440 SE Washington St
Hillsboro, OR 97123

1842 Lockhill Selma Rd
Ste 102
San Antonio, TX 78213
Phone (210) 643-1119

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1684368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718409600000",
    "number": "1013608231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1842 LOCKHILL SELMA RD STE 102",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782131559",
            "telephone_number": "210-838-0090",
            "fax_number": "210-881-9022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "446 SE WASHINGTON ST",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971234141",
            "telephone_number": "210-254-3618",
            "fax_number": "210-881-9022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVA RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-18",
        "last_updated": "2024-06-15",
        "certification_date": "2024-06-15",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "KASI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-838-0090",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Innova Recovery Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Innova Recovery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hillsboro, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.