Organization Active NPI

Partners in Recovery

  • Addiction (Substance Use Disorder) Counselor
  • Bloomington, IN
National Provider Identifier
1154300291
Registry record updated Apr 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
REF #: 1283-0-ASO Issued in IN
Legal business name
PARTNERS IN RECOVERY
Practice address
830 W 17TH St
Bloomington, IN 47404-3334
Phone
(812) 330-8183
Fax
(812) 330-9682
NPI assigned
Jan 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2008

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

Authorized official

Name
Mr. Warren Eugene Matthias, CAS, CCRC-II, MAFC
Title
Ceo/Owner
Phone
(812) 330-8183

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YA0400X REF #: 1283-0-ASO IN Primary

Addresses

Primary practice location

830 W 17TH St
Bloomington, IN 47404-3334

Mailing address

830 W 17TH St
Bloomington, IN 47404-3334
Phone (812) 330-8183

Other names 1

  • Sunrise Counseling Center Doing business as

National Provider Directory

National Provider Directory

Locations

830 W 17th St
Bloomington, IN 47404
Phone (812) 330-8183

NPI Registry JSON

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

{
    "created_epoch": "1137369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208908800000",
    "number": "1154300291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 W 17TH ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474043334",
            "telephone_number": "812-330-8183",
            "fax_number": "812-330-9682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 W 17TH ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474043334",
            "telephone_number": "812-330-8183",
            "fax_number": "812-330-9682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARTNERS IN RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-16",
        "last_updated": "2008-04-23",
        "status": "A",
        "authorized_official_last_name": "MATTHIAS",
        "authorized_official_first_name": "WARREN",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "812-330-8183",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CAS, CCRC-II, MAFC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IN",
            "license": "REF #:  1283-0-ASO",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunrise Counseling Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bloomington, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2008; 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.