NPIMap

Organization Active NPI

Calyx Recovery Inc.

  • Addiction (Substance Use Disorder) Counselor
  • Richmond, VA
National Provider Identifier
1508392697
Registry record updated May 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
CALYX RECOVERY INC.
Practice address
681 Hioaks Rd
Richmond, VA 23225-4043
Phone
(504) 722-9996
NPI assigned
May 10, 2017
Last updated
May 10, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2017

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

Authorized official

Name
Jeb Bird, MS, LAC
Title
Ceo
Phone
(610) 334-5216

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Primary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X

Addresses

Primary practice location

681 Hioaks Rd
Richmond, VA 23225-4043

Mailing address

681 Hioaks Rd
Richmond, VA 23225-4043
Phone (504) 722-9996

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1494374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494374400000",
    "number": "1508392697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "681 HIOAKS RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232254043",
            "telephone_number": "504-722-9996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "681 HIOAKS RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232254043",
            "telephone_number": "504-722-9996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALYX RECOVERY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-10",
        "last_updated": "2017-05-10",
        "status": "A",
        "authorized_official_last_name": "BIRD",
        "authorized_official_first_name": "JEB",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "610-334-5216",
        "authorized_official_credential": "MS, LAC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2017; 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.