Organization Active NPI

Rraine LLC

  • Marriage & Family Therapist
  • Indianapolis, IN
National Provider Identifier
1053900746
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
RRAINE LLC
Practice address
2346 S Lynhurst Dr Ste E101
Indianapolis, IN 46241-5169
Phone
(317) 771-1237
NPI assigned
Jan 16, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2024

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

Authorized official

Name
Deserie BrownNPI 1902669914
Title
Owner
Phone
(317) 771-1237

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X
Marriage & Family TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

2346 S Lynhurst Dr Ste E101
Indianapolis, IN 46241-5169

Mailing address

9702 E Washington St Ste 400-304
Indianapolis, IN 46229-3611

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231218003525 IN Part B Supplier - Clinic/Group Practice 2163871054 Practice locations: Indianapolis, IN

National Provider Directory

National Provider Directory

Locations

2346 S Lynhurst Dr
Ste E101
Indianapolis, IN 46241
Phone (317) 484-9880

6525 E 82nd St
Ste 210K
Indianapolis, IN 46250

9702 E Washington St
Ste 400304
Indianapolis, IN 46229

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": "1610755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706745600000",
    "number": "1053900746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9702 E WASHINGTON ST STE 400-304",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462293611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2346 S LYNHURST DR STE E101",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462415169",
            "telephone_number": "317-771-1237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RRAINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-16",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "DESERIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-771-1237"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.