NEW VISION BEHAVIORAL HEALTH SERVICES, LLC NPI 1003422460

Counselor (Mental Health) in Youngstown, OH

NPI 1003422460 Organization Counselor Mental Health CLIA Number 36D2217044 CLIA Certificate of Waiver

About NEW VISION BEHAVIORAL HEALTH SERVICES, LLC

New Vision Behavioral Health Services, Llc is a provider established in Youngstown, Ohio specializing in counselor (mental health) . The NPI number of New Vision Behavioral Health Services, Llc is 1003422460 and was assigned on September 2020. The practitioner's primary taxonomy code is 101YM0800X. The provider is registered as an organization and their NPI record was last updated one year ago. New Vision Behavioral Health Services, Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Hasheen Wilson Mba (Owner)

A mental health counselor like New Vision Behavioral Health Services, Llc provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.

The CLIA number of New Vision Behavioral Health Services, Llc is 36D2217044 registered as a "comprehensive outpatient rehab" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to New Vision Behavioral Health Services, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

NPI

1003422460

Provider NameNEW VISION BEHAVIORAL HEALTH SERVICES, LLC
Provider Location Address80 E MIDLOTHIAN BLVD YOUNGSTOWN, OH 44507
Provider Mailing Address80 E MIDLOTHIAN BLVD YOUNGSTOWN, OH 44507
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date09-21-2020
Last Update Date09-21-2020


Primary Taxonomy

Taxonomy Code101YM0800X
ClassificationCounselor
TypeBehavioral Health & Social Service Providers
SpecializationMental Health

Business Address

NEW VISION BEHAVIORAL HEALTH SERVICES, LLC
80 E MIDLOTHIAN BLVD
YOUNGSTOWN, OH
ZIP 44507
Phone: (330) 707-4636

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Mailing Address

NEW VISION BEHAVIORAL HEALTH SERVICES, LLC
80 E MIDLOTHIAN BLVD
YOUNGSTOWN, OH
ZIP 44507
Phone: (330) 707-4636



Authorized Official

Authorized Official Name HASHEEN WILSON MBA
Authorized Official TitleOWNER
Authorized Official Phone(330) 559-6219

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for the NPI number 1003422460 is:

CLIA Number36D2217044
Facility TypeCOMPREHENSIVE OUTPATIENT REHAB
Certificate TypeCertificate of Waiver

Group Taxonomy


193200000X MULTI-SPECIALTY GROUP - This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)No

Taxonomy Description: Not Available

Other Providers at the same location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1649270091 EUGENE JOSEPH PUSATERI D.P.M.
Individual
Podiatrist80 E MIDLOTHIAN BLVD
YOUNGSTOWN, OH 44507
(330) 782-6113
1386702108GENE PUSATERI DPM INC
Organization
Podiatrist80 E MIDLOTHIAN BLVD
YOUNGSTOWN, OH 44507
(330) 782-6113
1629684725NEW VISION BEHAVIORAL HEALTH SERVICES, LLC
Organization
Counselor (Addiction (Substance Use Disorder))80 E MIDLOTHIAN BLVD
YOUNGSTOWN, OH 44507
(330) 707-4636

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.