Active NPI
Youth in View
- Addiction (Substance Use Disorder) Counselor
- Desoto, TX
National Provider Identifier
1992955827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 7916
- Legal business name
- YOUTH IN VIEW
- Practice address
- 821 S Polk St Apt 322
Desoto, TX 75115-7593 - Phone
- (469) 360-1032
- NPI assigned
- Sep 28, 2008
- 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
- Mr. Dougasl A Umoru, LCDC
- Title
- Ceo
- Phone
- (469) 360-1032
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 7916 | TX | Primary |
Addresses
Primary practice location
821 S Polk St Apt 322
Desoto, TX 75115-7593
Mailing address
821 S Polk St Apt 322
Desoto, TX 75115-7593
Phone (469) 360-1032
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1747073 | Medicaid | TX |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222560000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1222560000000",
"number": "1992955827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "821 S POLK ST APT 322",
"city": "DESOTO",
"state": "TX",
"postal_code": "751157593",
"telephone_number": "469-360-1032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "821 S POLK ST APT 322",
"city": "DESOTO",
"state": "TX",
"postal_code": "751157593",
"telephone_number": "469-360-1032"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YOUTH IN VIEW",
"organizational_subpart": "NO",
"enumeration_date": "2008-09-28",
"last_updated": "2008-09-28",
"status": "A",
"authorized_official_last_name": "UMORU",
"authorized_official_first_name": "DOUGASL",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "469-360-1032",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LCDC"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TX",
"license": "7916",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1747073",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Desoto, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.