New Visions Counseling Co.

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

License

A-3689-0001-A Issued in IL

Legal business name

NEW VISIONS COUNSELING CO.

Practice address

6912 Main St Ste 201
Downers Grove, IL 60516-3450

Phone

(630) 493-1100

Fax

(630) 493-0942

NPI assigned

Jun 18, 2018

Organization subpart

No

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

Authorized official

Name

Tori Medina, CADC

Title

President

Phone

(630) 493-1100

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1529280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529280000000",
    "number": "1134613748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1124 PARTRIDGE AVE",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604903108",
            "telephone_number": "630-493-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6912 MAIN ST STE 201",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605163450",
            "telephone_number": "630-493-1100",
            "fax_number": "630-493-0942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW VISIONS COUNSELING CO.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-18",
        "last_updated": "2018-06-18",
        "status": "A",
        "authorized_official_last_name": "MEDINA",
        "authorized_official_first_name": "TORI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-493-1100",
        "authorized_official_credential": "CADC"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "IL",
            "license": "A-3689-0001-A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Betsy Ann Neri, OT
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• Alexis Newman-Brandes, DVM
• Keara K Newton
• Bao T. Nguyen, M.D.
• Julie Anne Nguyen, PHARMD
• Max T Nguyen

• Substance Use Disorder Rehabilitation Clinic/Center in Downers Grove, IL
• Providers in Downers Grove, IL by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2018; 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.