NPIMap

Organization Active NPI

Inner Vision Treatment Services

  • Addiction (Substance Use Disorder) Counselor
  • Stroudsburg, PA
National Provider Identifier
1295058352
Registry record updated Mar 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
457035 Issued in PA
Legal business name
INNER VISION TREATMENT SERVICES
Practice address
586 Main St
Suite # 9
Stroudsburg, PA 18360-2004
Phone
(570) 476-1902
Fax
(570) 476-4225
NPI assigned
Mar 3, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2010

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

Authorized official

Name
Mr. Paul Victor Andrews, LPC,LCAD,CCS,CAC,SAPNPI 1245429745
Title
President
Phone
(201) 927-8366

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 457035 PA Primary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 37LC00129700 NJ
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X PC005016 PA
Addiction (Substance Use Disorder) PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TA0400X PC005016 PA

Addresses

Primary practice location

586 Main St
Suite # 9
Stroudsburg, PA 18360-2004

Mailing address

586 Main St
Suite # 9
Stroudsburg, PA 18360-2004
Phone (570) 476-1902

Other names 1

  • Inner Vision Drug Test Consultant. Doing business as

National Provider Directory

National Provider Directory

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": "1267574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267574400000",
    "number": "1295058352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "586 MAIN ST",
            "address_2": "SUITE # 9",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183602004",
            "telephone_number": "570-476-1902",
            "fax_number": "570-476-4225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "586 MAIN ST",
            "address_2": "SUITE # 9",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183602004",
            "telephone_number": "570-476-1902",
            "fax_number": "570-476-4225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER VISION TREATMENT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-03",
        "last_updated": "2010-03-03",
        "status": "A",
        "authorized_official_last_name": "ANDREWS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "VICTOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-927-8366",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC,LCAD,CCS,CAC,SAP"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "PA",
            "license": "457035",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00129700",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC005016",
            "primary": false
        },
        {
            "code": "103TA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "PA",
            "license": "PC005016",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Inner Vision Drug Test Consultant.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stroudsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2010; 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.