Viaquest Behavioral Health, LLC

Primary specialty

Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X

License

306820 Issued in PA

Legal business name

VIAQUEST BEHAVIORAL HEALTH, LLC

Practice address

1170 S State St
Box 729
Ephrata, PA 17522-2601

Phone

(800) 441-7345

NPI assigned

Nov 10, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Rich Johnson

Title

Owner President

Phone

(800) 645-9267

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Summit Quest Academy Doing business as

Locations

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720159064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 METRO PL N",
            "address_2": "SUITE 450",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430175342",
            "telephone_number": "800-645-3267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1170 S STATE ST",
            "address_2": "BOX 729",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "175222601",
            "telephone_number": "800-441-7345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIAQUEST BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "RICH",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "800-645-9267",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "PA",
            "license": "306820",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8378401",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017857260001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CBHNP PROVIDER #",
            "identifier": "5301785726",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summit Quest Academy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tony Vanetesse, DO
• Valerie Victoria Vargas
• Laura R Vedder, PA-C
• Brian Vells, CRNA
• Rona Camile Vetrano, CRNP
• Eric Michael Vilbert, MD,CM
• Wendy S Voutsinos, RPH
• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP
• Erica L Walters, LBS

• Psychiatric Residential Treatment Facility in Ephrata, PA
• Providers in Ephrata, PA by specialty
• Psychiatric Residential Treatment Facility in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.