Organization Active NPI

Vivian Ireton LLC

  • Community/Behavioral Health Agency
  • Newburgh, IN
National Provider Identifier
1245680057
Registry record updated Jun 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
34006251A Issued in IN
Legal business name
VIVIAN IRETON LLC
Practice address
5048 S Plaza Dr
Ste B
Newburgh, IN 47630-3069
Phone
(812) 449-9355
Fax
(812) 607-9316
NPI assigned
Jun 13, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2016

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

Authorized official

Name
Mrs. Vivian L Ireton, LCSW
Title
Therapist
Phone
(812) 449-9355

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 34006251A IN Primary

Addresses

Primary practice location

5048 S Plaza Dr
Ste B
Newburgh, IN 47630-3069

Mailing address

5048 S Plaza Dr
Ste B
Newburgh, IN 47630-3069
Phone (812) 449-9355

National Provider Directory

National Provider Directory

Locations

5048 S Plaza Dr
Ste B
Newburgh, IN 47630
Phone (812) 449-9355

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1465776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465776000000",
    "number": "1245680057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5048 S PLAZA DR",
            "address_2": "STE B",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476303069",
            "telephone_number": "812-449-9355",
            "fax_number": "812-607-9316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5048 S PLAZA DR",
            "address_2": "STE B",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476303069",
            "telephone_number": "812-449-9355",
            "fax_number": "812-607-9316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIVIAN IRETON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-13",
        "last_updated": "2016-06-13",
        "status": "A",
        "authorized_official_last_name": "IRETON",
        "authorized_official_first_name": "VIVIAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "812-449-9355",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IN",
            "license": "34006251A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburgh, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2016; 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.