NPIMap

Organization Active NPI

Action Recovery Group, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • South Ogden, UT
National Provider Identifier
1386913895
Registry record updated Dec 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
18771 Issued in UT
Legal business name
ACTION RECOVERY GROUP, INC.
Practice address
1708 E 5550 S Ste 23
South Ogden, UT 84403-7038
Phone
(801) 475-4673
Fax
(801) 436-5535
NPI assigned
Dec 29, 2011
Last updated
Dec 29, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2011

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

Authorized official

Name
Richard J. Visser, L.S.A.C.NPI 1083278667
Title
President
Phone
(801) 475-4673

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 18771 UT Primary

Addresses

Primary practice location

1708 E 5550 S Ste 23
South Ogden, UT 84403-7038

Mailing address

1708 E 5550 S Ste 23
South Ogden, UT 84403-7038
Phone (801) 475-4673

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
46D2037588Action Recovery Group1708 East 5550 South #23, Ogden, UT 84403Certificate of waiverMar 13, 2027

National Provider Directory

National Provider Directory

Locations

1708 E 5550 S
Ste 23
South Ogden, UT 84403
Phone (801) 475-4673

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1325116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325116800000",
    "number": "1386913895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1708 E 5550 S STE 23",
            "city": "SOUTH OGDEN",
            "state": "UT",
            "postal_code": "844037038",
            "telephone_number": "801-475-4673",
            "fax_number": "801-436-5535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1708 E 5550 S STE 23",
            "city": "SOUTH OGDEN",
            "state": "UT",
            "postal_code": "844037038",
            "telephone_number": "801-475-4673",
            "fax_number": "801-436-5535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTION RECOVERY GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-29",
        "last_updated": "2011-12-29",
        "status": "A",
        "authorized_official_last_name": "VISSER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-475-4673",
        "authorized_official_credential": "L.S.A.C."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "UT",
            "license": "18771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Ogden, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.