VCC INC (NPI# 1689895625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689895625 |
| Entity Type | Organization |
| Organization Name | VCC INC |
| Other Organization Name | VALLEY COMMUNITY COUNSELING |
| Practice Address |
1092 Eastland Dr N Ste C Twin Falls ID 83301-8442 |
| Practice Telephone | 2087360695 |
| Practice Fax Number | 2087352482 |
| Mailing Telephone | 2087360695 |
| Mailing Fax Number | 2087352482 |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2017-02-07 |
| Authorized Official Name | MRS. CARLA DEJONG (OWNER) |
| Authorized Official Telephone | 2087360695 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 807394700 | 05 | |
| ID | CLINICAL | 807394700 | 01 |
| ID | 805272700 | 05 | |
| ID | PSR | 805277500 | 01 |
| ID | 805277500 | 05 |
| Other Name | Type Code |
|---|---|
| Valley Community Counseling | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporations | VCC INC. | 3003 Holden Beach Road, Holden Beach, NC 28462-5709 |
| Street Address |
1092 EASTLAND DR N STE C |
| City | TWIN FALLS |
| State | ID |
| Zip Code | 83301-8442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952728669 | Bree Van Leeuwen | Social Worker | 1092 Eastland Dr N Ste C, Twin Falls, ID 83301-8442 | 2014-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023645918 | Matthew Anderson | Pharmacist | Dick's Pharmacy, 526 K Shoup Ave W, Twin Falls, ID 83301 | 2020-03-23 |
| 1780146316 | Frontier Pediatric Partners, Pllc | Pediatrics | 1502 Locust Street N #700, Twin Falls, ID 83301 | 2019-04-02 |
| 1972073377 | Wood River Acupuncture | Acupuncturist | 1625 Addison Ave East, Twin Falls, ID 83301 | 2018-11-28 |
| 1235629874 | Lonnie Paul | Counselor | 1092 Eastland Dr N Ste A, Twin Falls, ID 83301 | 2018-05-17 |
| 1679060966 | Christina Jirapha Thongdee | Social Worker | 625 Poleline Road West, Suite 2a, Twin Falls, ID 83301 | 2018-04-23 |
| 1437658499 | Tyrel Kevin Ward | Chiropractor | 2167 Village Park Ave., Suite 100, Twin Falls, ID 83301 | 2018-02-06 |
| 1851836381 | Tanabell Health Services, Inc | Skilled Nursing Facility | 1134 Cheney Drive West, Twin Falls, ID 83301 | 2016-12-19 |
| 1578005195 | Matthew Carter | Physical Therapist | 1053 Eastland Drive, Twin Falls, ID 83301 | 2016-11-14 |
| 1790227783 | Murvat Usmanova | Nurse Practitioner | 775 Pole Line Road W, Suite 203, Twin Falls, ID 83301 | 2016-11-08 |
| 1265894687 | Shawna Fultz | Social Worker | 1201 Fall Ave East Suite C, Twin Falls, ID 83301 | 2016-03-24 |
| Find all providers in zip 83301 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962029298 | Kami Roach | Counselor | 155 2nd Ave N Ste 201, Twin Falls, ID 83301-6163 | 2020-07-02 |
| 1205495223 | Ines Sehic | Counselor | 950 Sparks St N Apt 4, Twin Falls, ID 83301-3656 | 2019-06-12 |
| 1568021863 | Lindsay Ashmead | Counselor | 419 Shoup Ave W, Twin Falls, ID 83301-5028 | 2019-06-10 |
| 1073058889 | Kevin Connor | Counselor | 2167 Bitterroot Dr, Twin Falls, ID 83301-3581 | 2017-01-03 |
| 1770720583 | Kimberly Ann Failes | Counselor | 378 Falls Ave, Twin Falls, ID 83301-3373 | 2009-01-15 |
| 1003031428 | Tamara Okelberry | Counselor | 460 Main Ave S Ste C, Twin Falls, ID 83301-6400 | 2007-04-13 |
| 1073661328 | Dme Health Management Group LLC | Counselor | 460 Main Ave South, Suite C, Twin Falls, ID 83301 | 2007-01-05 |
| 1942301106 | Positive Connections, LLC | Counselor | 417 Shoup Ave W, Twin Falls, ID 83301-5028 | 2006-09-26 |
| 1376561274 | Preferred Child & Family Services, Inc. | Counselor | 284 Martin St, Twin Falls, ID 83301-4562 | 2006-07-18 |
| 1619953916 | David V Dixon | Counselor | 1300 Kimberly Rd, Suite 7b, Twin Falls, ID 83301-7881 | 2005-12-19 |
| Find all providers in TWIN FALLS | ||||
| City | TWIN FALLS |
| Zip Code | 83301 |
Please comment or provide details below to improve the information on VCC INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.