VCC Inc

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

VCC INC

Doing business as

Valley Community Counseling

Practice address

1092 Eastland Dr N Ste C
Twin Falls, ID 83301-8442

Phone

(208) 736-0695

Fax

(208) 735-2482

NPI assigned

May 1, 2007

Last updated

Feb 7, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Carla Dejong

Title

Owner

Phone

(208) 736-0695

Specialties & licenses 5

Addresses

Other identifiers 5

Other names 1

• Valley Community Counseling Doing business as

Locations

Practitioners 3

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.

• Octavio Arroyo Saldana, LCSW

  • Clinical Social Worker
  • Twin Falls, ID
  • NPI 1457796591
  NPD (past)
• Katelyn Mary Schwennen, LMSW

  • Clinical Social Worker
  • Twin Falls, ID
  • NPI 1336554443
  NPD (past)
• Bree Van Leeuwen, LMSW

  • Clinical Social Worker
  • Twin Falls, ID
  • NPI 1952728669
  NPD (past)

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486425600000",
    "number": "1689895625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1092 EASTLAND DR N STE C",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833018442",
            "telephone_number": "208-736-0695",
            "fax_number": "208-735-2482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1092 EASTLAND DR N STE C",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833018442",
            "telephone_number": "208-736-0695",
            "fax_number": "208-735-2482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VCC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2017-02-07",
        "status": "A",
        "authorized_official_last_name": "DEJONG",
        "authorized_official_first_name": "CARLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-736-0695",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "807394700",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "805272700",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSR",
            "identifier": "805277500",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "805277500",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLINICAL",
            "identifier": "807394700",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley Community Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Counselor in Twin Falls, ID
• Providers in Twin Falls, ID by specialty
• Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.