Active NPI
Miracle House, Inc
- Addiction (Substance Use Disorder) Counselor
- Ventura, CA
National Provider Identifier
1295909877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 072703 1
- Legal business name
- MIRACLE HOUSE, INC
- Practice address
- 1997 E Main St
Ventura, CA 93001-3406 - Phone
- (805) 648-7857
- Fax
- (805) 648-7540
- NPI assigned
- Apr 15, 2008
- 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
- Mr. Norman Frank Patton
- Title
- Executive Director
- Phone
- (805) 648-7857
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 072703 1 | CA | Primary |
| Substance Abuse Rehabilitation Facility | 324500000X | 560007AN | CA | |
| Substance Abuse Rehabilitation Facility | 324500000X | 56000CN | CA |
Addresses
Primary practice location
1997 E Main St
Ventura, CA 93001-3406
Mailing address
1997 E Main St
Ventura, CA 93001-3406
Phone (805) 648-7857
Other names 1
- Miracle Recovery Centers
National Provider Directory
National Provider DirectoryLocations
1997 E Main St
Ventura, CA 93001
Phone (805) 216-2041
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Marriage & Family Therapist
- Ventura, CA
- NPI 1790977619
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208217600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208217600000",
"number": "1295909877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1997 E MAIN ST",
"city": "VENTURA",
"state": "CA",
"postal_code": "930013406",
"telephone_number": "805-648-7857",
"fax_number": "805-648-7540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1997 E MAIN ST",
"city": "VENTURA",
"state": "CA",
"postal_code": "930013406",
"telephone_number": "805-648-7857",
"fax_number": "805-648-7540"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIRACLE HOUSE, INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-15",
"last_updated": "2008-04-15",
"status": "A",
"authorized_official_last_name": "PATTON",
"authorized_official_first_name": "NORMAN",
"authorized_official_middle_name": "FRANK",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "805-648-7857",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "072703 1",
"primary": true
},
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": "CA",
"license": "560007AN",
"primary": false
},
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": "CA",
"license": "56000CN",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Miracle Recovery Centers",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Ventura, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.