Individual provider Active NPI

Benjamin John Vivio

  • Counselor
  • Monessen, PA
National Provider Identifier
1790357283
Registry record updated Jul 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
2 Eastgate Ave Ste 102
Monessen, PA 15062-1392
Phone
(724) 684-6489
Fax
(724) 684-7116
NPI assigned
Jul 14, 2021
Last updated
Jul 14, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU Primary

Addresses

Primary practice location

2 Eastgate Ave Ste 102
Monessen, PA 15062-1392

Mailing address

2 Eastgate Ave Ste 102
Monessen, PA 15062-1392
Phone (724) 684-6489

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Behavioral Care, Inc. CurrentSince Jul 25, 2021 Accepting new patients
South Hills Psychotherapy Associates, LLC Counselor Past Accepting new patients
Southwest Behavioral Care, Inc. PastSince Jul 25, 2021 Accepting new patients

Locations

2 Eastgate Ave
Ste 102
Monessen, PA 15062
Phone (724) 684-6489

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1626220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626220800000",
    "number": "1790357283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 EASTGATE AVE STE 102",
            "city": "MONESSEN",
            "state": "PA",
            "postal_code": "150621392",
            "telephone_number": "724-684-6489",
            "fax_number": "724-684-7116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 EASTGATE AVE STE 102",
            "city": "MONESSEN",
            "state": "PA",
            "postal_code": "150621392",
            "telephone_number": "724-684-6489",
            "fax_number": "724-684-7116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIVIO",
        "first_name": "BENJAMIN",
        "middle_name": "JOHN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-14",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monessen, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; 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.