NPIMap

Organization Active NPI

Atlantic Recovery Services

  • Addiction (Substance Use Disorder) Counselor
  • Pacoima, CA
National Provider Identifier
1568680338
Registry record updated Aug 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
ATLANTIC RECOVERY SERVICES
Practice address
13456 Van Nuys Blvd
Pacoima, CA 91331
Phone
(562) 436-3533
Fax
(562) 436-1007
NPI assigned
Apr 24, 2007
Last updated
Aug 4, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2008

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

Authorized official

Name
Lori Miller
Title
Program Director
Phone
(562) 436-3533

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X NU Primary
Community/Behavioral Health Agency 251S00000X 190229AN CA

Addresses

Primary practice location

13456 Van Nuys Blvd
Pacoima, CA 91331

Mailing address

944 Pacific Ave
Long Beach, CA 90813
Phone (562) 436-3533

Other identifiers 1

IdentifierTypeStateIssuer
7143MedicaidCA

National Provider Directory

National Provider Directory
Tax ID family
Atlantic Recovery Services81 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

13456 Van Nuys Blvd
Pacoima, CA 91331

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217808000000",
    "number": "1568680338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "944 PACIFIC AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "90813",
            "telephone_number": "562-436-3533",
            "fax_number": "562-436-1007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13456 VAN NUYS BLVD",
            "city": "PACOIMA",
            "state": "CA",
            "postal_code": "91331",
            "telephone_number": "562-436-3533",
            "fax_number": "562-436-1007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC RECOVERY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2008-08-04",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "562-436-3533"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "190229AN",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7143",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pacoima, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.

Verify at the official NPI Registry.