Organization Active NPI

Recovery First LLC

  • Mental Health Counselor
  • Vineland, NJ
National Provider Identifier
1609378629
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
44SC05660000 Issued in NJ
Legal business name
RECOVERY FIRST LLC
Practice address
2581 E Chestnut Ave Ste B3
Vineland, NJ 08361-8487
Phone
(609) 346-8740
NPI assigned
Mar 6, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2024

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

Authorized official

Name
Luis Enrique Virella, LCSW, LCADCNPI 1134588965
Title
Clinical Therapist/Owner
Phone
(609) 346-8740

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X 37LC00241500 NJ
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 44SC05660000 NJ Primary

Addresses

Primary practice location

2581 E Chestnut Ave Ste B3
Vineland, NJ 08361-8487

Mailing address

PO Box 2738
Vineland, NJ 08362-2738
Phone (609) 346-8740

Other practice location 1

504 Route 130 N Ste 201
Cinnaminson, NJ 08077-3370
Phone (609) 346-8740

Other identifiers 1

IdentifierTypeStateIssuer
0010138MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180802001813 NJ Part B Supplier - Clinic/Group Practice 3274881578 Receives reassigned benefits from 1 practitioner
Practice locations: Vineland, NJ

National Provider Directory

National Provider Directory
Tax ID family
Recovery First LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

504 Route 130 N
Ste 201
Cinnaminson, NJ 08077
Phone (609) 346-8740

2581 E Chestnut Ave
Ste B3
Vineland, NJ 08361
Phone (609) 346-8740

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": "1520294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712707200000",
    "number": "1609378629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2738",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083622738",
            "telephone_number": "609-346-8740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2581 E CHESTNUT AVE STE B3",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083618487",
            "telephone_number": "609-346-8740"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "504 Route 130 N Ste 201",
            "address_purpose": "LOCATION",
            "city": "Cinnaminson",
            "state": "NJ",
            "postal_code": "080773370",
            "country_code": "US",
            "telephone_number": "609-346-8740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RECOVERY FIRST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-06",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A",
        "authorized_official_last_name": "VIRELLA",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "ENRIQUE",
        "authorized_official_title_or_position": "CLINICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "609-346-8740",
        "authorized_official_credential": "LCSW, LCADC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00241500",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "44SC05660000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010138",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vineland, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.