Richard Visser, ASUDC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

332287-6009 Issued in UT

Practice address

1708 E 5550 S Ste 23
Ogden, UT 84403-7038

Phone

(801) 475-4673

Fax

(801) 528-3392

NPI assigned

Apr 29, 2019

Last updated

Apr 29, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Action Recovery Group, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • South Ogden, UT
  • NPI 1386913895
  NPD (past) Authorized official

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

{
    "created_epoch": "1556496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556496000000",
    "number": "1083278667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1708 E 5550 S STE 23",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844037038",
            "telephone_number": "801-475-4673",
            "fax_number": "801-528-3392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1708 E 5550 S STE 23",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844037038",
            "telephone_number": "801-475-4673",
            "fax_number": "801-528-3392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VISSER",
        "first_name": "RICHARD",
        "credential": "ASUDC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-29",
        "last_updated": "2019-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "UT",
            "license": "332287-6009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "332287-6009",
            "state": "UT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Ogden",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1708 E 5550 S Ste 23",
            "city": "Ogden",
            "state": "UT",
            "country_code": "US",
            "postal_code": "844037038",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Stacy Visage, MS-CCC, SLP
• Vision Experts Inc. (Knighton Vision)
• Vision Expets Inc. (Knighton Vision)
• Vision Source of South Ogden
• David R Visser, CMHC
• Vitality Generation & Midwifery LLC
• Vitality Generation & Midwifery, LLC (My Family Birth Center)
• Jessica Alysse Vlisides-Henry
• April Meyer Vogt, SLP
• Nicole Von Niederhausern, MFT

• Addiction (Substance Use Disorder) Counselor in Ogden, UT
• Providers in Ogden, UT by specialty
• Addiction (Substance Use Disorder) Counselor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2019; 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.