NPIMap

Organization Active NPI

Recovery Revolution, Inc.

  • Voluntary or Charitable Agency
  • Bangor, PA
National Provider Identifier
1114070307
Registry record updated Dec 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
License
487033 Issued in PA
Legal business name
RECOVERY REVOLUTION, INC.
Practice address
109 Broadway
Bangor, PA 18013-2505
Phone
(610) 599-7700
Fax
(610) 599-7714
NPI assigned
Jan 19, 2007
Last updated
Dec 2, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2021

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

Authorized official

Name
Ms. Jana Morris, MS, CAADC, LPC, NCCNPI 1851869176
Title
Executive Director
Phone
(610) 599-7700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X 487033 PA Primary

Addresses

Primary practice location

109 Broadway
Bangor, PA 18013-2505

Mailing address

PO Box 746
Bangor, PA 18013-0746
Phone (610) 599-7700

National Provider Directory

National Provider Directory

Locations

109 Broadway
Bangor, PA 18013
Phone (610) 599-7700

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638403200000",
    "number": "1114070307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746",
            "city": "BANGOR",
            "state": "PA",
            "postal_code": "180130746",
            "telephone_number": "610-599-7700",
            "fax_number": "610-599-7714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 BROADWAY",
            "city": "BANGOR",
            "state": "PA",
            "postal_code": "180132505",
            "telephone_number": "610-599-7700",
            "fax_number": "610-599-7714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECOVERY REVOLUTION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2021-12-02",
        "certification_date": "2021-12-02",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "JANA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "610-599-7700",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS, CAADC, LPC, NCC"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "PA",
            "license": "487033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bangor, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2021; 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.