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NPI Code Detail

MEDICARE: RECOUP PLUS RELIEF COUNSELING & THERAPEUTIC SERVICES COMMA LLC

MEDICARE: RECOUP PLUS RELIEF COUNSELING & THERAPEUTIC SERVICES COMMA LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)
2261QM0855XAdolescent and Children Mental Health Clinic/Center
33245S0500XChildren's Substance Abuse Rehabilitation Facility
4385H00000XRespite Care

General Provider Information

NPI Number : 1639011869
Entity Type Code : Organization
Provider Name (Legal Business Name) : RECOUP PLUS RELIEF COUNSELING & THERAPEUTIC SERVICES COMMA LLC
Provider Business Mailing Address
First Line : 803 E WASHINGTON ST STE 200
Second Line :
City : MEDINA
State : OH
Zip : 44256-3326
Country : US
Telephone Number : 330-636-5000
Fax Number : 440-287-6122
Provider Business Practice Location Address
First Line : 803 E WASHINGTON ST STE 200
Second Line :
City : MEDINA
State : OH
Zip : 44256-3326
Country : US
Telephone Number : 330-636-5000
Fax Number : 440-287-6122
Authorized Official
Title or Position : OWNER
Name : DEREKA FEILER
Credential : MSSA, LISW-S
Telephone Number : 330-636-5000
Provider Enumeration Date : 04/07/2026
Last Update Date : 04/07/2026

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