Active NPI
New Vision Wilderness NVW Newco
Doing business as New Vision Wilderness East, LLC
- Mental Health Counselor
- Franklin, NC
National Provider Identifier
1740774520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- 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, 2023
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.