Accredited Counseling & Intervention Services, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

LCI04531115 Issued in CA

Legal business name

ACCREDITED COUNSELING & INTERVENTION SERVICES, INC.

Practice address

1190 Park Ave Unit B
San Jose, CA 95126-2913

Phone

(888) 427-8689

NPI assigned

Jan 6, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Scott James Henrywestwood, LAADC CA, CADC-IINPI 1326400128

Title

Sud Counselor, Interventionist

Phone

(408) 203-0964

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Scott James Henrywestwood, LAADC, NCAC-II, SAP

  • Professional Counselor
  • San Jose, CA
  • NPI 1326400128
  NPD (past) Authorized official
• Kalin Ternian

  • Addiction (Substance Use Disorder) Counselor
  • San Jose, CA
  • NPI 1427582212
  NPD (past)

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

{
    "created_epoch": "1452038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452038400000",
    "number": "1649636671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1190 PARK AVE UNIT B",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951262913",
            "telephone_number": "888-427-8689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 PARK AVE UNIT B",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951262913",
            "telephone_number": "888-427-8689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCREDITED COUNSELING & INTERVENTION SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-06",
        "last_updated": "2016-01-06",
        "status": "A",
        "authorized_official_last_name": "HENRYWESTWOOD",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "SUD COUNSELOR, INTERVENTIONIST",
        "authorized_official_telephone_number": "408-203-0964",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LAADC CA, CADC-II"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "LCI04531115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY CORP INC.",
            "identifier": "GI-071015",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA CONSORTIUM OF ADDICTION PROGRAMS AND PROFESSIONALS",
            "identifier": "LCI04531115",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA CONSORTIUM OF ADDICTION PROGRAMS AND PROFESSIONALS",
            "identifier": "A07540315",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in San Jose, CA
• Providers in San Jose, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2016; 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.