Organization Active NPI

Vanark Behavioral Management, Inc.

  • Addiction (Substance Use Disorder) Counselor
  • Prestonsburg, KY
National Provider Identifier
1720468937
Registry record updated Jun 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
810154 Issued in KY
Legal business name
VANARK BEHAVIORAL MANAGEMENT, INC.
Practice address
207 W Court St
Prestonsburg, KY 41653-7732
Phone
(606) 886-9989
Fax
(606) 889-8603
NPI assigned
Jun 2, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2015

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

Authorized official

Name
Rhonda K Clark, BSW,ICADC,CSS
Title
Owner
Phone
(606) 886-9989

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 810154 KY Primary

Addresses

Primary practice location

207 W Court St
Prestonsburg, KY 41653-7732

Mailing address

PO Box 92
Prestonsburg, KY 41653-0092
Phone (606) 886-9989

National Provider Directory

National Provider Directory
Tax ID family
Vanark Behavioral Management Inc2 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.

NPI Registry JSON

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

{
    "created_epoch": "1433203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433376000000",
    "number": "1720468937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 92",
            "city": "PRESTONSBURG",
            "state": "KY",
            "postal_code": "416530092",
            "telephone_number": "606-886-9989",
            "fax_number": "606-889-8603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 W COURT ST",
            "city": "PRESTONSBURG",
            "state": "KY",
            "postal_code": "416537732",
            "telephone_number": "606-886-9989",
            "fax_number": "606-889-8603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANARK BEHAVIORAL MANAGEMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-02",
        "last_updated": "2015-06-04",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-886-9989",
        "authorized_official_credential": "BSW,ICADC,CSS"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KY",
            "license": "810154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prestonsburg, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2015; 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.