NPI Code Detail JSON Logo

1003176405 NPI number — REED CENTER FOR WELLNESS LLC

NPI Number: 1003176405
Health Care Provider/Practitioner: REED CENTER FOR WELLNESS LLC

Information about “1003176405” NPI (REED CENTER FOR WELLNESS LLC) exists in 1003176405 in HTML format HTML  |  1003176405 in plain Text format TXT  |  1003176405 in PDF (Portable Document Format) PDF  |  1003176405 in an XML format XML  formats.

NPI Number : 1003176405 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1003176405",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "REED CENTER FOR WELLNESS LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "165 W CENTER ST STE 205",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MARION",
    "MailingAddressStateName": "OH",
    "MailingAddressPostalCode": "43302-3741",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "614-505-7049",
    "MailingAddressFaxNumber": "800-552-0838",
    "FirstLinePracticeLocationAddress": "6797 N HIGH ST",
    "SecondLinePracticeLocationAddress": "SUITE 212",
    "PracticeLocationAddressCityName": "WORTHINGTON",
    "PracticeLocationAddressStateName": "OH",
    "PracticeLocationAddressPostalCode": "43085-2533",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "614-505-7049",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/21/2012",
    "LastUpdateDate": "01/30/2020",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "PELPHREY",
    "AuthorizedOfficialFirstName": "NANCY",
    "AuthorizedOfficialMiddleName": "J",
    "AuthorizedOfficialTitle": "MENTAL HEALTH COUNSELOR",
    "AuthorizedOfficialNamePrefix": "MS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "RN, PCC",
    "AuthorizedOfficialTelephoneNumber": "614-505-7049",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "101YP2500X",
          "TaxonomyName": "Professional Counselor",
          "LicenseNumber": "E.0500182",
          "LicenseNumberStateCode": "OH",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "101YM0800X",
          "TaxonomyName": "Mental Health Counselor",
          "LicenseNumber": "E.0500182",
          "LicenseNumberStateCode": "OH",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": [
        {
          "HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
        }
      ]
    }
  }
}
                
            

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