Organization Active NPI

Vietnam Veterans Family Assistance Center

  • Counseling Psychologist
  • Muncie, IN
National Provider Identifier
1184707556
Registry record updated Sep 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
Legal business name
VIETNAM VETERANS FAMILY ASSISTANCE CENTER
Practice address
723 W Centennial Ave
Muncie, IN 47303-2974
Phone
(765) 288-4015
Fax
(765) 288-4047
NPI assigned
Oct 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2011

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

Authorized official

Name
Lisa A Lohrey
Title
Billing Specialist
Phone
(765) 620-8529

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC1900X Primary

Addresses

Primary practice location

723 W Centennial Ave
Muncie, IN 47303-2974

Mailing address

723 W Centennial Ave
Muncie, IN 47303-2974
Phone (765) 288-4015

Other identifiers 1

IdentifierTypeStateIssuer
200311360MedicaidIN

National Provider Directory

National Provider Directory

Locations

723 W Centennial Ave
Muncie, IN 47303
Phone (765) 288-4015

NPI Registry JSON

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

{
    "created_epoch": "1161475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317254400000",
    "number": "1184707556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "723 W CENTENNIAL AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473032974",
            "telephone_number": "765-288-4015",
            "fax_number": "765-288-4047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "723 W CENTENNIAL AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473032974",
            "telephone_number": "765-288-4015",
            "fax_number": "765-288-4047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIETNAM VETERANS FAMILY ASSISTANCE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-22",
        "last_updated": "2011-09-29",
        "status": "A",
        "authorized_official_last_name": "LOHREY",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BILLING SPECIALIST",
        "authorized_official_telephone_number": "765-620-8529"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200311360",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Muncie, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2011; 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.