Fresh Start Counseling

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

1194-0-ASO Issued in IN

Legal business name

FRESH START COUNSELING

Practice address

1552 W Lincolnway
Valparaiso, IN 46385-0300

Phone

(219) 548-9400

Fax

(219) 548-9444

NPI assigned

Oct 23, 2009

Last updated

Oct 23, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Veroinca Ramos-Clark, MAC

Title

Director

Phone

(219) 548-9400

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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.

• Jill M Underwood, LCAC, MBA

  • Addiction (Substance Use Disorder) Counselor
  • Valparaiso, IN
  • NPI 1245544345
  NPD (past)

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

{
    "created_epoch": "1256256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256256000000",
    "number": "1114253218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1552 W LINCOLNWAY",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463850300",
            "telephone_number": "219-548-9400",
            "fax_number": "219-548-9444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1552 W LINCOLNWAY",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463850300",
            "telephone_number": "219-548-9400",
            "fax_number": "219-548-9444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESH START COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-23",
        "last_updated": "2009-10-23",
        "status": "A",
        "authorized_official_last_name": "RAMOS-CLARK",
        "authorized_official_first_name": "VEROINCA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "219-548-9400",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MAC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IN",
            "license": "1194-0-ASO",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "1194-0-ASO",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassidy Renee Fowler
• Jessica Fox
• Arianna Francis
• John W. Frantom
• Mark Henry Frazier, PHARM.D.
• Eric G Friedman, M.D.
• Kelly Friendly
• Noel Frigo, APRN
• Cristina Froah
• Lori Ann Fuentes, MSW

• Addiction (Substance Use Disorder) Counselor in Valparaiso, IN
• Providers in Valparaiso, IN by specialty
• Addiction (Substance Use Disorder) Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2009; 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.