Organization Active NPI

Healthcare Venture Partners, LLC

Doing business as Northland Intervention Center

  • Addiction (Substance Use Disorder) Counselor
  • Milford, OH
National Provider Identifier
1912094699
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
10698 Issued in OH
Legal business name
HEALTHCARE VENTURE PARTNERS, LLC
Doing business as
Northland Intervention Center
Practice address
25 Whitney Drive, Suite 122
Milford, OH 45150
Phone
(513) 753-9964
Fax
(513) 753-9968
NPI assigned
Oct 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Ms. Deeann N. Mock, LICD-CS, LPCC, NCC
Title
C.O.O.
Phone
(513) 753-9964

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 10698 OH Primary

Addresses

Primary practice location

25 Whitney Drive, Suite 122
Milford, OH 45150

Mailing address

25 Whitney Drive, Suite 122
Milford, OH 45150
Phone (513) 753-9964

Other identifiers 1

IdentifierTypeStateIssuer
10698MedicaidOH

Other names 1

  • Northland Intervention Center Doing business as

National Provider Directory

National Provider Directory

Locations

37 E Main St
Amelia, OH 45102
Phone (513) 753-9964

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1912094699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 WHITNEY DRIVE, SUITE 122",
            "city": "MILFORD",
            "state": "OH",
            "postal_code": "45150",
            "telephone_number": "513-753-9964",
            "fax_number": "513-753-9968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 WHITNEY DRIVE, SUITE 122",
            "city": "MILFORD",
            "state": "OH",
            "postal_code": "45150",
            "telephone_number": "513-753-9964",
            "fax_number": "513-753-9968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHCARE VENTURE PARTNERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MOCK",
        "authorized_official_first_name": "DEEANN",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "C.O.O.",
        "authorized_official_telephone_number": "513-753-9964",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LICD-CS, LPCC, NCC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "10698",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10698",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northland Intervention Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Milford, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.