Active NPI
We Have a Choice Recovery House for Men LLC
- Addiction (Substance Use Disorder) Counselor
- Tobyhanna, PA
National Provider Identifier
1164154811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Legal business name
- WE HAVE A CHOICE RECOVERY HOUSE FOR MEN LLC
- Practice address
- 1411 Prospect St
Tobyhanna, PA 18466-7779 - Phone
- (570) 534-5439
- NPI assigned
- Jun 29, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kenneth Andre Ramirez, RECOVERY SPECIALIST
- Title
- Executive Director
- Phone
- (570) 534-5439
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary |
Addresses
Primary practice location
1411 Prospect St
Tobyhanna, PA 18466-7779
Mailing address
2114 Titania Rd
Tobyhanna, PA 18466-8266
Phone (570) 534-5439
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | kennyr5273@gmail.com | Direct |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Addiction (Substance Use Disorder) Counselor
- Tobyhanna, PA
- NPI 1881018315
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656460800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1656460800000",
"number": "1164154811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2114 TITANIA RD",
"city": "TOBYHANNA",
"state": "PA",
"postal_code": "184668266",
"telephone_number": "570-534-5439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1411 PROSPECT ST",
"city": "TOBYHANNA",
"state": "PA",
"postal_code": "184667779",
"telephone_number": "570-534-5439"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WE HAVE A CHOICE RECOVERY HOUSE FOR MEN LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-06-29",
"last_updated": "2022-06-29",
"certification_date": "2022-06-29",
"status": "A",
"authorized_official_last_name": "RAMIREZ",
"authorized_official_first_name": "KENNETH",
"authorized_official_middle_name": "ANDRE",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "570-534-5439",
"authorized_official_credential": "RECOVERY SPECIALIST"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "kennyr5273@gmail.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "email",
"address_1": "1411 Prospect St",
"city": "Tobyhanna",
"state": "PA",
"country_code": "US",
"postal_code": "184667779",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Tobyhanna, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.