Rainwood Counseling LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

110709 Issued in AK

Legal business name

RAINWOOD COUNSELING LLC

Practice address

540 Water St Ste 202
Ketchikan, AK 99901-6378

Phone

(907) 220-4789

Fax

(800) 215-6101

NPI assigned

Apr 22, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mary C Eberle, LCSW

Title

Owner/Therapist

Phone

(907) 220-4789

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1524355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524355200000",
    "number": "1013404383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 WATER ST STE 202",
            "city": "KETCHIKAN",
            "state": "AK",
            "postal_code": "999016378",
            "telephone_number": "907-220-4789",
            "fax_number": "800-215-6101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 WATER ST STE 202",
            "city": "KETCHIKAN",
            "state": "AK",
            "postal_code": "999016378",
            "telephone_number": "907-220-4789",
            "fax_number": "800-215-6101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAINWOOD COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-22",
        "last_updated": "2018-04-22",
        "status": "A",
        "authorized_official_last_name": "EBERLE",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "907-220-4789",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "AK",
            "license": "110709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke Putman
• Rogelio Quijano
• Katherine Quill, MD
• Katherine Race
• Mark Raine, MD
• Cassandra Ramirez
• Ysidra Ramos
• Elliot James Rapp, M.D.
• Julia Rauscher
• Kelly Reamer

• Clinical Social Worker in Ketchikan, AK
• Providers in Ketchikan, AK by specialty
• Clinical Social Worker in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.