Organization Active NPI

RMK Healing Therapies LLC

  • Clinical Social Worker
  • Rocky River, OH
National Provider Identifier
1013559475
Registry record updated Sep 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
RMK HEALING THERAPIES LLC
Practice address
2639 Wooster Rd
Rocky River, OH 44116-2911
Phone
(440) 479-3308
NPI assigned
Oct 16, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2021

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

Authorized official

Name
Rebecca Kondrich, LISW
Title
Owner/President
Phone
(440) 479-3308

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

2639 Wooster Rd
Rocky River, OH 44116-2911

Mailing address

74 Landings Way
Avon Lake, OH 44012-2236

Other names 1

  • Wild Rose Counseling and Wellness Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rebecca@wildrosecounseling.com

National Provider Directory

National Provider Directory

Locations

20088 Center Ridge Rd
Ste 101
Rocky River, OH 44116

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1571184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631836800000",
    "number": "1013559475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 LANDINGS WAY",
            "city": "AVON LAKE",
            "state": "OH",
            "postal_code": "440122236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2639 WOOSTER RD",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "441162911",
            "telephone_number": "440-479-3308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RMK HEALING THERAPIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-16",
        "last_updated": "2021-09-17",
        "certification_date": "2021-09-17",
        "status": "A",
        "authorized_official_last_name": "KONDRICH",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "440-479-3308",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rebecca@wildrosecounseling.com",
            "affiliation": "N",
            "address_1": "2639 Wooster Rd",
            "city": "Rocky River",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441162911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Wild Rose Counseling and Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rocky River, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2021; 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.