Viveri Youth Services LLC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

11586 Issued in TX

Legal business name

VIVERI YOUTH SERVICES LLC

Practice address

1719 Analog Dr
Richardson, TX 75081-1944

Phone

(214) 812-9802

Fax

(512) 900-8325

NPI assigned

Oct 14, 2013

Last updated

Oct 14, 2013By 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

Todd Orme

Title

Ceo

Phone

(775) 233-7389

Specialties & licenses 1

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.

• Star Lynn Genera, LCDC

  • Addiction (Substance Use Disorder) Counselor
  • Richardson, TX
  • NPI 1003246802
  NPD (past)

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

{
    "created_epoch": "1381708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381708800000",
    "number": "1215365085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1719 ANALOG DR",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750811944",
            "telephone_number": "214-812-9802",
            "fax_number": "512-900-8325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1719 ANALOG DR",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750811944",
            "telephone_number": "214-812-9802",
            "fax_number": "512-900-8325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIVERI YOUTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-14",
        "last_updated": "2013-10-14",
        "status": "A",
        "authorized_official_last_name": "ORME",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "775-233-7389"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "11586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Addiction (Substance Use Disorder) Counselor in Richardson, TX
• Providers in Richardson, TX by specialty
• Addiction (Substance Use Disorder) Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2013; 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.