Organization Active NPI

New Vision Wilderness NVW Newco

Doing business as New Vision Wilderness East, LLC

  • Mental Health Counselor
  • Franklin, NC
National Provider Identifier
1740774520
Registry record updated Jun 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
NEW VISION WILDERNESS NVW NEWCO
Doing business as
New Vision Wilderness East, LLC
Practice address
673 Siler Rd Ste 1
Franklin, NC 28734
Phone
(262) 354-0622
NPI assigned
Jun 15, 2018
Last updated
Jun 20, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2023

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

Authorized official

Name
Mrs. Laura Brown
Title
VP of Revenue Cycle Management
Phone
(480) 999-2358

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

673 Siler Rd Ste 1
Franklin, NC 28734

Mailing address

5500 Ming Ave Ste 410
Bakersfield, CA 93309-4631
Phone (661) 622-4132

Other names 1

  • New Vision Wilderness East, LLC Doing business as

National Provider Directory

National Provider Directory

Locations

5500 Ming Ave
Ste 265
Bakersfield, CA 93309

673 Siler Rd
Ste 1
Franklin, NC 28734
Phone (262) 354-0622

NPI Registry JSON

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

{
    "created_epoch": "1529020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687219200000",
    "number": "1740774520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 MING AVE STE 410",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933094631",
            "telephone_number": "661-622-4132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "673 SILER RD STE 1",
            "city": "FRANKLIN",
            "state": "NC",
            "postal_code": "28734",
            "telephone_number": "262-354-0622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW VISION WILDERNESS NVW NEWCO",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-15",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "VP OF REVENUE CYCLE MANAGEMENT",
        "authorized_official_telephone_number": "480-999-2358",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Vision Wilderness East, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Franklin, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; 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.